Organization Active NPI

Ben T Wilkins MD Inc

  • Pediatrics Physician
  • Searcy, AR
National Provider Identifier
1639208382
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E3747 Issued in AR
Legal business name
BEN T WILKINS MD INC
Practice address
400 S Main St
Suite 200
Searcy, AR 72143-6848
Phone
(501) 279-0502
Fax
(501) 279-0506
NPI assigned
Mar 5, 2007
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Dr. Ben T Wilkins, MD
Title
President
Phone
(501) 279-0502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X A03713 AR
Pediatrics Physician 208000000X E3747 AR Primary

Addresses

Primary practice location

400 S Main St
Suite 200
Searcy, AR 72143-6848

Mailing address

400 S Main St
Suite 200
Searcy, AR 72143-6848
Phone (501) 279-0502

Other identifiers 1

IdentifierTypeStateIssuer
150629002MedicaidAR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1017531Ben T Wilkins MD Inc400 S Main St Ste 200, Searcy, AR 72143Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Locations

400 S Main St
Ste 200
Searcy, AR 72143
Phone (501) 279-0502

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1639208382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436848",
            "telephone_number": "501-279-0502",
            "fax_number": "501-279-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436848",
            "telephone_number": "501-279-0502",
            "fax_number": "501-279-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN T WILKINS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-279-0502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A03713",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E3747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150629002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.