Organization Active NPI

Eric Sidaris Bennos MD PA

Doing business as Esbmdpa

  • Diagnostic Radiology Physician
  • Flower Mound, TX
National Provider Identifier
1265228951
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422000961 TX Part B Supplier - Clinic/Group Practice 7911422084 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.