Active NPI
Eric Sidaris Bennos MD PA
Doing business as Esbmdpa
- Diagnostic Radiology Physician
- Flower Mound, TX
National Provider Identifier
1265228951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ERIC SIDARIS BENNOS MD PA
- Doing business as
- Esbmdpa
- Practice address
- 6000 Bay Park CT
Flower Mound, TX 75022-5576 - Phone
- (972) 358-0426
- Fax
- (972) 539-6485
- NPI assigned
- Apr 17, 2025
- Last updated
- Apr 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Sidaris Bennos, MD, MD
- Title
- President/Ceo
- Phone
- (817) 243-2432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
6000 Bay Park CT
Flower Mound, TX 75022-5576
Mailing address
PO Box 271387
Flower Mound, TX 75027-1387
Phone (972) 358-0426
Other names 1
- ESBMDPA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Flower Mound, TX
- NPI 1902803190
-
- Speech-Language Pathologist
- Justin, TX
- NPI 1285986232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744848000000",
"number": "1265228951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271387",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750271387",
"telephone_number": "972-358-0426",
"fax_number": "972-539-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 BAY PARK CT",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750225576",
"telephone_number": "972-358-0426",
"fax_number": "972-539-6485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC SIDARIS BENNOS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-17",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A",
"authorized_official_last_name": "BENNOS, MD",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "SIDARIS",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "817-243-2432",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ESBMDPA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.