Organization Active NPI

Benjamin Medical Associates, PA

Doing business as Bma

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1750560926
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BENJAMIN MEDICAL ASSOCIATES, PA
Doing business as
Bma
Practice address
1611 N Belt Line Rd
Suite a
Mesquite, TX 75149-1722
Phone
(972) 613-1000
Fax
(972) 613-4232
NPI assigned
Oct 24, 2007
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
BENJAMIN MEDICAL ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Jense Benjamin, MD
Title
President
Phone
(972) 613-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1611 N Belt Line Rd
Suite a
Mesquite, TX 75149-1722

Mailing address

1611 N Belt Line Rd
Suite a
Mesquite, TX 75149-1722
Phone (972) 613-1000

Other identifiers 1

IdentifierTypeStateIssuer
166121701MedicaidTX

Other names 1

  • BMA Doing business as

National Provider Directory

National Provider Directory
Part of
Benjamin Medical Associates

Locations

2704 N Galloway Ave
Ste 104
Mesquite, TX 75150
Phone (972) 613-1000

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1750560926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 N BELT LINE RD",
            "address_2": "SUITE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491722",
            "telephone_number": "972-613-1000",
            "fax_number": "972-613-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 N BELT LINE RD",
            "address_2": "SUITE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491722",
            "telephone_number": "972-613-1000",
            "fax_number": "972-613-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENJAMIN MEDICAL ASSOCIATES, PA",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "JENSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-613-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166121701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.