Active NPI
Jose B. Benigno Medical Clinic, P.a.
- Family Medicine Physician
- Odessa, TX
National Provider Identifier
1750666095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K9021
- Legal business name
- JOSE B. BENIGNO MEDICAL CLINIC, P.A.
- Practice address
- 115 W 42ND St
Odessa, TX 79764-4001 - Phone
- (432) 367-4817
- Fax
- (432) 367-4813
- NPI assigned
- Oct 19, 2011
- Last updated
- Oct 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Bato Benigno Jr., M.D.
- Title
- Secretary/President
- Phone
- (432) 367-4817
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K9021 | TX | Primary |
Addresses
Primary practice location
115 W 42ND St
Odessa, TX 79764-4001
Mailing address
115 W 42ND St
Odessa, TX 79764-4001
Phone (432) 367-4817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171721701 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Jose B Benigno Medical Clinic PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Odessa, TX
- NPI 1841380615
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Physician
- Odessa, TX
- NPI 1881784643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318982400000",
"number": "1750666095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W 42ND ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797644001",
"telephone_number": "432-367-4817",
"fax_number": "432-367-4813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W 42ND ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797644001",
"telephone_number": "432-367-4817",
"fax_number": "432-367-4813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE B. BENIGNO MEDICAL CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A",
"authorized_official_last_name": "BENIGNO",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "BATO",
"authorized_official_title_or_position": "SECRETARY/PRESIDENT",
"authorized_official_telephone_number": "432-367-4817",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K9021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171721701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.