Organization Active NPI

Benson OB/GYN Cneter, P.a.

  • Clinic/Center
  • Bryan, TX
National Provider Identifier
1245247444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BENSON OB/GYN CNETER, P.A.
Practice address
3740 Copperfield Dr
Suite 105
Bryan, TX 77802-5932
Phone
(979) 776-1660
Fax
(979) 776-1314
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Royal Henry Benson III, M.D.
Title
President
Phone
(979) 776-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3740 Copperfield Dr
Suite 105
Bryan, TX 77802-5932

Mailing address

3740 Copperfield Dr
Suite 105
Bryan, TX 77802-5932
Phone (979) 776-1660

Other identifiers 2

IdentifierTypeStateIssuer
P00069BNMedicaidTX
0069BNOtherTXBCBS PROVIDER NUMBER

Other names 1

  • Dr. Royal H. Benson III Other name

National Provider Directory

National Provider Directory
Tax ID family
Benson OBGYN Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245247444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 COPPERFIELD DR",
            "address_2": "SUITE 105",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025932",
            "telephone_number": "979-776-1660",
            "fax_number": "979-776-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 COPPERFIELD DR",
            "address_2": "SUITE 105",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025932",
            "telephone_number": "979-776-1660",
            "fax_number": "979-776-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON OB/GYN CNETER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ROYAL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-776-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00069BN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0069BN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Royal H. Benson III",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.