NPIMap

Individual provider Active NPI

Benjamin B. Close, M.D.

  • Pediatric Allergy/Immunology Physician
  • Alexandria, LA
National Provider Identifier
1730185802
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
MD.019414 Issued in LA
Practice address
201 Pecan Park Ave
Alexandria, LA 71303-3361
Phone
(318) 445-6221
Fax
(318) 445-5399
NPI assigned
Jun 23, 2005
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.019414 LA
Specialist 174400000X 019414 LA
Pediatric Allergy/Immunology Physician 2080P0201X MD.019414 LA Primary

Addresses

Primary practice location

201 Pecan Park Ave
Alexandria, LA 71303-3361

Mailing address

201 Pecan Park Ave
Alexandria, LA 71303-3361
Phone (318) 445-6221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000894 LA Practitioner - Allergy/Immunology 6800088204 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Louisiana State University School of Medicine in Shreveport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Clinic of AlexandriaGroup PAC ID 0648462044, 3 clinicians

Practice addresses (Care Compare)

201 Pecan Park Ave
Alexandria, LA 71303-3361
Phone (318) 445-6221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019414LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Internal Medicine CurrentSince Oct 30, 2019 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Jan 5, 2022 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Jan 5, 2022 Accepting new patients
Allergy & Asthma Clinic of Alexandria Specialist CurrentSince Jul 1, 1992 Accepting new patients
Lasalle Parish Hospital Service Dist No1 CurrentSince Jan 5, 2022 Accepting new patients
Lasalle Parish Hospital Service District #1 Past Accepting new patients

Locations

201 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 445-6221

2108 Texas Ave
Ste 3062
Alexandria, LA 71301
Phone (318) 442-5398

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

Interoperability endpoints

  • Direct secure messaging: benjamin.close.1@20465.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/fbc8c866-997f-48a9-94e2-a511f307192d/

Organizations & group practices 6

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1730185802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033361",
            "telephone_number": "318-445-6221",
            "fax_number": "318-445-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033361",
            "telephone_number": "318-445-6221",
            "fax_number": "318-445-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "BENJAMIN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.019414",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "019414",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "LA",
            "license": "MD.019414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.