Active NPI
Benjamin Devries DO LLC
- Family Medicine Physician
- Clearwater, FL
National Provider Identifier
1558916494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BENJAMIN DEVRIES DO LLC
- Practice address
- 1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417 - Phone
- (727) 600-8500
- Fax
- (877) 692-1943
- NPI assigned
- Aug 7, 2019
- Last updated
- Jan 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Devries
- Title
- Owner
- Phone
- (727) 600-8500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417
Mailing address
1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417
Phone (727) 600-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72062 | Other | BLUE CROSS BLUE SHIELD | |
| 103871800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://connect4.healow.com/apps/api/v1/fhir/activated_clinical_endpoints | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1831 N Belcher Rd
Ste A3
Clearwater, FL 33765
Phone (727) 600-8500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1164738159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767744000000",
"number": "1558916494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 N BELCHER RD STE A3",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337651417",
"telephone_number": "727-600-8500",
"fax_number": "877-692-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 N BELCHER RD STE A3",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337651417",
"telephone_number": "727-600-8500",
"fax_number": "877-692-1943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN DEVRIES DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-07",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A",
"authorized_official_last_name": "DEVRIES",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-600-8500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "72062",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103871800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://connect4.healow.com/apps/api/v1/fhir/activated_clinical_endpoints",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1831 N Belcher Rd Ste A3",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337651417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.