Benjamin Yainthang Phen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T3683 Issued in TX

Practice address

3410 President George Bush Tpke
Dallas, TX 75287-6629

Phone

(305) 266-2929

Fax

(888) 635-3573

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centrum Medical Group, PLLC

  • General Practice Physician
  • Katy, TX
  • NPI 1376219543
  Medicare reassignment NPD
• Centrum Medical Group PLLC

  • General Practice Physician
  • McAllen, TX
  • NPI 1033099627
  NPD
• Centrum Medical Group, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1922751288
  NPD
• Centrum Medical Group, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1043963317
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Watson Clinic LLP

  • Clinical Medical Laboratory
  • Lakeland, FL
  • NPI 1558409730
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1265404065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 PRESIDENT GEORGE BUSH TPKE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876629",
            "telephone_number": "800-218-8989",
            "fax_number": "888-635-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 PRESIDENT GEORGE BUSH TPKE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876629",
            "telephone_number": "305-266-2929",
            "fax_number": "888-635-3573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 President George Bush Tpke",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752876629",
            "country_code": "US",
            "telephone_number": "800-218-8989",
            "fax_number": "888-635-3573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHEN",
        "first_name": "BENJAMIN",
        "middle_name": "YAINTHANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME76136",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T3683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted J Phelan, OT
• Brandy Phelps, LMSW
• Carol McEwen Phelps, PH. D. L.M.F.T.
• Catherine Cecilia Phelps, MSN, APRN, WHNP-BC
• Timothy Nicholas Phelps
• Rawle Fabian Philbert, DDS
• Philip B. Halloran, MD
• Philip Brown, MD, PA
• Philip Kozlow, D.D.S.
• Philip L Kelton Jr MD PA

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.