Active NPI
Benjamin R King, MD
- Surgery Physician
- Huntsville, AL
National Provider Identifier
1699756940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 6130
- Practice address
- 401 Lowell Dr SE
Suite 11
Huntsville, AL 35801-3748 - Phone
- (256) 533-3337
- Fax
- (256) 533-3361
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 6130 | AL | Primary |
Addresses
Primary practice location
401 Lowell Dr SE
Suite 11
Huntsville, AL 35801-3748
Mailing address
420 Lowell Dr SE
Suite 103
Huntsville, AL 35801-3754
Phone (256) 535-5940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51082189 | Other | AL | BLUE CROSS BLUE SHIELD |
| 0004003580 | Other | AETNA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6130 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health Care Authority of the City of Huntsville | 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.
-
- Psychiatry Physician
- Huntsville, AL
- NPI 1760400535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699756940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 LOWELL DR SE",
"address_2": "SUITE 103",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013754",
"telephone_number": "256-535-5940",
"fax_number": "256-535-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 LOWELL DR SE",
"address_2": "SUITE 11",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013748",
"telephone_number": "256-533-3337",
"fax_number": "256-533-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "BENJAMIN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "6130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51082189",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004003580",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.