Individual provider Active NPI

Bryce I. Benbow, DO

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
National Provider Identifier
1619011053
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
K5453 Issued in TX
Practice address
10400 N Central Expy
Dallas, TX 75231-2297
Phone
(972) 884-4446
Fax
(972) 884-4401
NPI assigned
Feb 19, 2007
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X K5453 TX Primary

Addresses

Primary practice location

10400 N Central Expy
Dallas, TX 75231-2297

Mailing address

10400 N Central Expy
Dallas, TX 75231-2297
Phone (972) 884-4446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040207000038 TX Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 1254224652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10400 N Central Expy
Dallas, TX 75231-2297
Phone (972) 884-4446

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Anesthesia & Surgical Associates PA Current Accepting new patients
Bryce I Benbow, DO, PA CurrentSince Oct 26, 2015 Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

10400 N Central Expy
Dallas, TX 75231
Phone (972) 884-4400

9 Medical Pkwy
Ste 205
Dallas, TX 75234
Phone (972) 241-8595

Interoperability endpoints

  • Direct secure messaging: bryce.benbow.1@13131.direct.athenahealth.com
  • Direct secure messaging: dmcbbenbo@yourcarecommunity.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1619011053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312297",
            "telephone_number": "972-884-4446",
            "fax_number": "972-884-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312297",
            "telephone_number": "972-884-4446",
            "fax_number": "972-884-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENBOW",
        "first_name": "BRYCE",
        "middle_name": "I.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "K5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.