NPIMap

Individual provider Active NPI

Tyler John Lee Benson, D.O.

  • Family Medicine Physician
  • Nocona, TX
National Provider Identifier
1467985671
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T2828 Issued in TX
Practice address
90 Park Rd
Nocona, TX 76255-3600
Phone
(940) 825-3333
Fax
(940) 825-3052
NPI assigned
Apr 5, 2017
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 T2828 TX Primary

Addresses

Primary practice location

90 Park Rd
Nocona, TX 76255-3600

Mailing address

90 Park Rd
Nocona, TX 76255-3600
Phone (940) 825-3333

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
I20230804001997 TX Practitioner - Family Practice 7416373444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nocona Hospital DistrictGroup PAC ID 5395786180, 23 clinicians
Nocona Medical Clinic, P.a.Group PAC ID 3072661354, 4 clinicians

Practice addresses (Care Compare)

100 Park Rd
Nocona, TX 76255-3616
Phone (940) 825-3235

504 N Mason St
NGH Rural Health Clinic Bowie
Bowie, TX 76230-4231
Phone (940) 872-3333

90 Park Rd
Nocona, TX 76255-3600
Phone (940) 825-3333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nocona Medical Clinic, P.a. Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Nocona Hospital District CurrentSince Aug 1, 2023 Accepting new patients
Nocona Hospital District CurrentSince Aug 1, 2023 Accepting new patients
Plano Healthcare Residence Operator LLC Past Accepting new patients
Nocona Hospital District Past Accepting new patients

Locations

504 N Mason St
Bowie, TX 76230
Phone (940) 825-3235

100 Park Rd
Nocona, TX 76255
Phone (940) 825-3235

90 Park Rd
Nocona, TX 76255
Phone (940) 825-3333

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1467985671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PARK RD",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762553600",
            "telephone_number": "940-825-3333",
            "fax_number": "940-825-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PARK RD",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762553600",
            "telephone_number": "940-825-3333",
            "fax_number": "940-825-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "TYLER",
        "middle_name": "JOHN LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T2828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nocona, TX

Sources for this page

Verify at the official NPI Registry.