Active NPI
William Benda Jr., M.D.
- Emergency Medicine Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME122909
- Practice address
- 880 NW 13TH St Ste 400
Boca Raton, FL 33486-2342 - Phone
- (561) 297-4814
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME122909 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | G58815 | CA |
Addresses
Primary practice location
880 NW 13TH St Ste 400
Boca Raton, FL 33486-2342
Mailing address
880 NW 13TH St Ste 400
Boca Raton, FL 33486-2342
Phone (561) 297-4814
Other practice location 1
46896 Highway 1
Big Sur, CA 93920-9693
Phone (831) 667-2580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMM70858F | Other | CA | MEDICAL |
| 00G588150 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Sterling Emergency Services of Florida PA | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Sterling Emergency Services of Florida PA | Emergency Medicine | Current | Accepting new patients |
| Sterling Emergency Services of Florida PA | Emergency Medicine | Current | Accepting new patients |
Locations
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
Networks
- Freedom Health HMO Network
Interoperability endpoints
- william.benda.1@25843.direct.athenahealth.com
Organizations & group practices 5
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.
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-
- Emergency Medicine Physician
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- NPI 1295720241
-
- Emergency Medicine Physician
- Boynton Beach, FL
- NPI 1578814570
-
- Emergency Medicine Physician
- Boynton Beach, FL
- NPI 1659366698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1669576005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 NW 13TH ST STE 400",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862342",
"telephone_number": "561-297-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 NW 13TH ST STE 400",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862342",
"telephone_number": "561-297-4814"
}
],
"practiceLocations": [
{
"address_1": "46896 Highway 1",
"address_purpose": "LOCATION",
"city": "Big Sur",
"state": "CA",
"postal_code": "939209693",
"country_code": "US",
"telephone_number": "831-667-2580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENDA",
"first_name": "WILLIAM",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME122909",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G58815",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "CMM70858F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G588150",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.