Individual provider Active NPI

James M Benzschawel, DC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1326008152
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11208 Issued in FL
Practice address
2201 58TH St N
St Petersburg, FL 33710-4236
Phone
(727) 202-7250
Fax
(727) 207-7256
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4030-012 WI
Chiropractor 111N00000X CH11208 FL Primary

Addresses

Primary practice location

2201 58TH St N
St Petersburg, FL 33710-4236

Mailing address

2201 58TH St N
St Petersburg, FL 33710-4236
Phone (727) 202-7250

Other practice location 1

160 Gateway Dr
Waupun, WI 53963-2276
Phone (920) 277-7392

Other identifiers 2

IdentifierTypeStateIssuer
104213700MedicaidFL
38955100MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108002231 FL Practitioner - Chiropractic 7113990664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2201 58TH St N
St Petersburg, FL 33710-4236
Phone (727) 202-7250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11208FLMDChiropractor
4030-012WIMDChiropractor
4030WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
B'Wel Durable Medical LLC. Current Accepting new patients
Strong Chiropractic Office SC Chiropractor PastSince Jun 15, 2001 Accepting new patients

Locations

2201 58th St N
Ofc
St Petersburg, FL 33710

2201 58th St N
St Petersburg, FL 33710
Phone (727) 202-7250

Organizations & group practices 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1326008152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 58TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104236",
            "telephone_number": "727-202-7250",
            "fax_number": "727-207-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 58TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104236",
            "telephone_number": "727-202-7250",
            "fax_number": "727-207-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Waupun",
            "state": "WI",
            "postal_code": "539632276",
            "country_code": "US",
            "telephone_number": "920-277-7392",
            "fax_number": "727-207-7256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENZSCHAWEL",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4030-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104213700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38955100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.