Individual provider Active NPI

Benjamin James Nelson, MD

  • Family Medicine Physician
  • Enterprise, AL
National Provider Identifier
1477246122
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53878 Issued in AL
Practice address
101 E Brunson St Ste 300
Enterprise, AL 36330-2500
Phone
(334) 393-3212
NPI assigned
May 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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 53878 AL Primary

Addresses

Primary practice location

101 E Brunson St Ste 300
Enterprise, AL 36330-2500

Mailing address

101 E Brunson St Ste 300
Enterprise, AL 36330-2500
Phone (334) 393-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240923000936 KS Practitioner - Family Practice 6002276110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 689-9349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-11429KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Sep 25, 2024 Accepting new patients
Sumner County Hospital District No 1 CurrentSince Aug 1, 2025 Accepting new patients
Enterprise Clinic LLC Family Medicine CurrentSince Sep 1, 2026 Accepting new patients
Sawyer Surgery Clinic LLC CurrentSince Sep 1, 2026 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Sep 25, 2024 Accepting new patients
Scott County Hospital CurrentSince Sep 1, 2024 Accepting new patients
Sumner County Hospital District No 1 CurrentSince Aug 1, 2025 Accepting new patients

Locations

101 E Brunson St
Ste 300
Enterprise, AL 36330
Phone (334) 393-3212

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

761 W 175th St S
Caldwell, KS 67022
Phone (620) 845-6492

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

Organizations & group practices 7

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1477246122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST STE 300",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302500",
            "telephone_number": "334-393-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST STE 300",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302500",
            "telephone_number": "334-393-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "53878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.