NPIMap

Individual provider Active NPI

Benjamin Gonzalez, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1457607269
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P9578 Issued in TX
Practice address
9398 Viscount Blvd Ste C
El Paso, TX 79925-8056
Phone
(915) 594-1033
Fax
(915) 594-1263
NPI assigned
Jul 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 P9578 TX Primary

Addresses

Primary practice location

9398 Viscount Blvd Ste C
El Paso, TX 79925-8056

Mailing address

9398 Viscount Blvd Ste C
El Paso, TX 79925-8056
Phone (915) 594-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021001934 TX Practitioner - Family Practice 1658507314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians
Family Medicine Associates of El Paso, PLLCGroup PAC ID 1153504196, 11 clinicians

Practice addresses (Care Compare)

6151 Dew Dr
El Paso, TX 79912-3912
Phone (915) 581-9606

9398 Viscount Blvd
Suite C
El Paso, TX 79925-8056
Phone (915) 594-1033

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of El Paso, PLLC Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Good Night El Paso LLC CurrentSince Feb 15, 2025 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

10501 Vista del Sol Dr
Ste 112
El Paso, TX 79925
Phone (915) 592-3911

9398 Viscount Blvd
Ste 4C
El Paso, TX 79925
Phone (915) 594-1033

9398 Viscount Blvd
Ste C
El Paso, TX 79925
Phone (915) 219-9733

Interoperability endpoints

  • Direct secure messaging: benjamin.gonzalez.1@33731.direct.athenahealth.com

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1457607269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9398 VISCOUNT BLVD STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799258056",
            "telephone_number": "915-594-1033",
            "fax_number": "915-594-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398 VISCOUNT BLVD STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799258056",
            "telephone_number": "915-594-1033",
            "fax_number": "915-594-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P9578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.