Individual provider Active NPI

Benjamin Monroe Durr, NP

  • Family Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1609819747
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP110439 Issued in TX
Practice address
9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone
(832) 326-2327
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 594436 TX
Family Nurse Practitioner 363LF0000X AP110439 TX Primary

Addresses

Primary practice location

9900 Bren Rd E
Minnetonka, MN 55343-9664

Mailing address

9055 Nina Rd
Conroe, TX 77304-3727
Phone (832) 326-2327

Other practice location 1

9201 Pinecroft Dr
The Woodlands, TX 77380-3222
Phone (281) 297-6305

Other practice location 2

9055 Nina Rd
Conroe, TX 77304-3727
Phone (832) 326-2327

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address benjamin.durr@optum.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP110439TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sadler Clinic Association Past Accepting new patients

Organizations & group practices 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1609819747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 NINA RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043727",
            "telephone_number": "832-326-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "832-326-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 Pinecroft Dr",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773803222",
            "country_code": "US",
            "telephone_number": "281-297-6305",
            "fax_number": "281-297-6436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9055 Nina Rd",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773043727",
            "country_code": "US",
            "telephone_number": "832-326-2327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURR",
        "first_name": "BENJAMIN",
        "middle_name": "MONROE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "594436",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP110439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjamin.durr@optum.com",
            "affiliation": "N",
            "endpointDescription": "Corporate email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Corporate email",
            "address_1": "9055 Nina Rd",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773043727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.