Active NPI
Benjamin Hildreth Wrench
- Family Medicine Physician
- Topeka, KS
National Provider Identifier
1306505201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 53-80674-111
- Practice address
- 1733 SW Pembroke LN
Topeka, KS 66604-3258 - Phone
- (785) 817-6720
- NPI assigned
- Dec 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53-80674-111 | KS | Primary |
Addresses
Primary practice location
1733 SW Pembroke LN
Topeka, KS 66604-3258
Mailing address
1733 SW Pembroke LN
Topeka, KS 66604-3258
Phone (785) 817-6720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241107000585 | KS | Order and Referring Only - Nurse Practitioner | 1850825324 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-80674-111 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1306505201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 SW PEMBROKE LN",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666043258",
"telephone_number": "785-817-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 SW PEMBROKE LN",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666043258",
"telephone_number": "785-817-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRENCH",
"first_name": "BENJAMIN",
"middle_name": "HILDRETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "53-80674-111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.