Benjamin Ray Hudgens

Key facts

NPI

1275420218

Entity type

Individual (NPI type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program 390200000X

Practice address

1111 W 17TH St
Tulsa, OK 74107-1886

Phone

(918) 582-1972

NPI assigned

Jun 23, 2025

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 23, 2025.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1275420218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 S ELWOOD AVE APT 23104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322449",
            "telephone_number": "580-618-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 17TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741071886",
            "telephone_number": "918-582-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGENS",
        "first_name": "BENJAMIN",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

• Joe D Huddleston, DO
• Kelsey Larae Huddleston
• Lara Ann Huddleston
• Stephanie Huddleston
• Holly Hudelson
• Sheila Renee Hudgins
• Bruce E Hudkins, MD
• Melissa Renee Hudmon, PSY.D.
• Amy Hudson, BHRS
• Lloyd A Hudson, DDS MD

All providers in Tulsa, OK · Student in an Organized Health Care Education/Training Program in Oklahoma