Bohanan Anthony Benton

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

320 Robert S Kerr Ave
Room 505
Oklahoma City, OK 73102-3457

Phone

(405) 713-1600

Fax

(405) 235-1567

NPI assigned

Jan 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Bo Anthony Benton Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1770905655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ROBERT S KERR AVE",
            "address_2": "ROOM 505",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731023457",
            "telephone_number": "405-713-1600",
            "fax_number": "405-235-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ROBERT S KERR AVE",
            "address_2": "ROOM 505",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731023457",
            "telephone_number": "405-713-1600",
            "fax_number": "405-235-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "BOHANAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BO",
            "last_name": "BENTON",
            "middle_name": "ANTHONY",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amber L Bentley, RD
• Andrew Chase Bentley, MSW
• Reed Bentley
• Aimee Benton, LPC
• Amber Benton
• Michael J Benton, P.A.-C
• Rebecca Benton
• Terrye Lynn Benton, CRNA
• Erica Leigh Benvenutti, MD
• Amanda N Berber, LMFT

• Addiction (Substance Use Disorder) Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.