Individual provider Active NPI

Benjamin F Walton III, M.D.

  • Pulmonary Disease Physician
  • Alexandria, LA
National Provider Identifier
1275675472
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD017787 Issued in LA
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

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1027651MedicaidLA

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

LicenseStateTypeSpecialty
MD017787LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jun 12, 2022 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.

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.

Verify at the official NPI Registry.