Bryce I Benbow, DO, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

K5453 Issued in TX

Legal business name

BRYCE I BENBOW, DO, PA

Practice address

9 Medical Pkwy
Suite 205
Dallas, TX 75234-7858

Phone

(972) 241-8595

Fax

(972) 241-8980

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Bryce BenbowNPI 1619011053

Title

President

Phone

(972) 241-8595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryce I. Benbow, DO

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
  • NPI 1619011053
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1548420367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "SUITE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347858",
            "telephone_number": "972-241-8595",
            "fax_number": "972-241-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "SUITE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347858",
            "telephone_number": "972-241-8595",
            "fax_number": "972-241-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYCE I BENBOW, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BENBOW",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-241-8595"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria T Bryant, QMHP
• William Matthew Bryant, AUD/F
• Winston Bryant
• Julia Claire Bryarly
• Meredith Anne Bryarly, M.D.
• Bryce Lee Stout, MD, PA
• Andrew Brylowski, M.D.
• Jasmine Bryson, DPT
• Susan Bryson
• Trenton Daniel Bryson, M.D.

• Orthopaedic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.