Benjamin Matthew Wolcott, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

Q7986 Issued in TX

Practice address

7501 Quaker Ave
Lubbock, TX 79424-3367

Phone

(806) 793-7257

Fax

(806) 799-1568

NPI assigned

Jun 7, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Umc Physicians

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1669418547

  Pediatrics

  Medicare reassignment NPD
• Lubbock County Hospital District

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1821087164
  NPD (past)

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1467890822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79407",
            "telephone_number": "806-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243367",
            "telephone_number": "806-793-7257",
            "fax_number": "806-799-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLCOTT",
        "first_name": "BENJAMIN",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q7986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjamin.wolcott@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "address_1": "7501 Quaker Ave",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794243367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wittman Optometry PA
• Cathy Y Wittman, OD
• Wnshields Lonestar LLC
• Helena Rebecca Wojciechowski, MD
• Clinton Grover Wolboldt, MD
• Joseph John Wolcott, M.D.
• Randall D. Wolcott, M.D.
• Roger James Wolcott, M.D.
• Eleni Girma Woldearegay, MD
• James Townsend Wolfe, M.D.

• Pediatrics Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.