NPIMap

Organization Active NPI

Benjamin Adam Stahl M.D. P.a.

Doing business as Boerne Family Medicine

  • Family Medicine Physician
  • Boerne, TX
National Provider Identifier
1649400391
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1905 Issued in TX
Legal business name
BENJAMIN ADAM STAHL M.D. P.A.
Doing business as
Boerne Family Medicine
Practice address
112 Herff Rd Ste 110
Boerne, TX 78006-2751
Phone
(830) 331-8585
Fax
(830) 331-8586
NPI assigned
Jul 15, 2009
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Benjamin Adam Stahl, M.D.NPI 1104958230
Title
Owner
Phone
(830) 331-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N1905 TX Primary

Addresses

Primary practice location

112 Herff Rd Ste 110
Boerne, TX 78006-2751

Mailing address

112 Herff Rd Ste 110
Boerne, TX 78006-2751
Phone (830) 331-8585

Other identifiers 1

IdentifierTypeStateIssuer
012087660MedicaidTX

Other names 1

  • Boerne Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

112 Herff Rd
Ste 110
Boerne, TX 78006
Phone (830) 331-8181

1430 S Main St
Ste 111
Boerne, TX 78006
Phone (830) 331-8181

Practitioners & affiliated clinicians

Practitioners 5

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": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1649400391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HERFF RD STE 110",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062751",
            "telephone_number": "830-331-8585",
            "fax_number": "830-331-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HERFF RD STE 110",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062751",
            "telephone_number": "830-331-8585",
            "fax_number": "830-331-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN ADAM STAHL M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-331-8585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012087660",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boerne Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boerne Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.