Individual provider Active NPI

Benjamin Kingsley, M.D.

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1760879845
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R4577 Issued in TX
Practice address
2606 Hospital Blvd
Corpus Christi, TX 78405-1833
Phone
(361) 902-6570
NPI assigned
Apr 16, 2015
Last updated
Sep 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 592191 TX
Emergency Medicine Physician 207P00000X R4577 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd
Corpus Christi, TX 78405-1833

Mailing address

2606 Hospital Blvd
Corpus Christi, TX 78405-1833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108000132 TX Practitioner - Emergency Medicine 1951667955 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4577TXMDEmergency Medicine Physician
592191TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Conner Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 2, 2018 Accepting new patients
Frio Hospital Association CurrentSince Feb 5, 2018 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jan 14, 2018 Accepting new patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Apr 23, 2018 Accepting new patients
Stephens Memorial Hospital District CurrentSince Jun 14, 2019 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince May 30, 2018 Accepting new patients
Stephens Memorial Hospital District CurrentSince Jun 14, 2019 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jan 14, 2018 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince May 30, 2018 Accepting new patients
Frio Hospital Association Emergency Medicine CurrentSince Feb 5, 2018 Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

101 S Hartford St
Breckenridge, TX 76424
Phone (254) 559-3363

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

13172 Highway 287
Haslet, TX 76052
Phone (682) 703-4410

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1760879845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051833",
            "telephone_number": "361-902-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "592191",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R4577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.