Individual provider Active NPI

Benjamin McDonald

  • Family Medicine Physician
  • Foley, AL
National Provider Identifier
1316408263
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.2342 Issued in AL
Practice address
1265 S McKenzie St
Foley, AL 36535-1818
Phone
(251) 923-4633
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO.2342 AL Primary

Addresses

Primary practice location

1265 S McKenzie St
Foley, AL 36535-1818

Mailing address

10272 Jacob CT
Fairhope, AL 36532-4531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20210108000274 AL Practitioner - Internal MedicinePractitioner - Family Practice 4789097924 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Center of the South, LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Immediate Care Foley LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

1265 S McKenzie St
Foley, AL 36535
Phone (251) 300-2770

4270 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 300-2770

Interoperability endpoints

  • Direct secure messaging: benjaminmcdonald@ics.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Alabama College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Immediate Care Foley, LLC 6 clinicians
Immediate Care Center of the South, LLC 5 clinicians

Practice addresses (Care Compare)

1265 S McKenzie St
Foley, AL 36535-1818
Phone (251) 923-4633

4270 Cottage Hill Rd
Mobile, AL 36609-4286
Phone (251) 300-2770

Hospital & facility affiliations

  • Amedisys Home Health of Foley Home health agency, Foley, AL, CCN 017069
  • Centerwell Home Health Home health agency, Foley, AL, CCN 017052
  • Enhabit Home Health Home health agency, Mobile, AL, CCN 017155
  • Baldwin Health Hospital, Foley, AL, CCN 010083
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1316408263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10272 JACOB CT",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351818",
            "telephone_number": "251-923-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.