Active NPI
Benjamin F Walton III, M.D.
- Pulmonary Disease Physician
- Alexandria, LA
National Provider Identifier
1275675472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD017787
- Practice address
- 201 4TH St Ste 1a
Alexandria, LA 71301-8421 - Phone
- (318) 769-5864
- Fax
- (318) 769-3910
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD017787 | LA | Primary |
| Internal Medicine Physician | 207R00000X | MD017787 | LA |
Addresses
Primary practice location
201 4TH St Ste 1a
Alexandria, LA 71301-8421
Mailing address
201 4TH St Ste 1a
Alexandria, LA 71301-8421
Phone (318) 769-5864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027651 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017787 | LA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Associates | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Rapides Parish, LLC | Internal Medicine | Past | Accepting new patients |
| Rapides Regional Physician Group Primary Care, LLC | Past | Accepting new patients | |
| Orthopaedic Sports Specialists of Louisiana, LLC | Past | Accepting new patients |
Locations
501 Medical Center Dr
Ste 3C
Alexandria, LA 71301
Phone (318) 448-1249
501 Medical Center Dr
#30104
Alexandria, LA 71301
501 Medical Center Dr
Ste 1A
Alexandria, LA 71301
Phone (318) 442-5800
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1073790689
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1275573628
-
dba OrthoLA
- Orthopaedic Surgery Physician
- Lutcher, LA
- NPI 1720752827
-
- Family Medicine Physician
- Alexandria, LA
- NPI 1639367477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1275675472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 4TH ST STE 1A",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018421",
"telephone_number": "318-769-5864",
"fax_number": "318-769-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 4TH ST STE 1A",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018421",
"telephone_number": "318-769-5864",
"fax_number": "318-769-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "BENJAMIN",
"middle_name": "F",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "LA",
"license": "MD017787",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD017787",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027651",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.