Organization Active NPI

Doctors at Home LLC

  • Primary Care Clinic/Center
  • Brooksville, FL
National Provider Identifier
1790737922
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2005-00475004 Issued in FL
Legal business name
DOCTORS AT HOME LLC
Practice address
11479 Cortez Blvd
Brooksville, FL 34613-7367
Phone
(352) 592-7777
Fax
(352) 592-1155
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Dr. Dalton M Benson, M.D.
Title
Owner
Phone
(352) 597-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2005-00475004 FL Primary

Addresses

Primary practice location

11479 Cortez Blvd
Brooksville, FL 34613-7367

Mailing address

15215 Cortez Blvd
Brooksville, FL 34613-6072
Phone (352) 799-0046

Other identifiers 1

IdentifierTypeStateIssuer
P01046782OtherFLRAILROAD MEDICARE ATTACHED TO GRP# DR6927

National Provider Directory

National Provider Directory

Locations

534 Howell St
Dunedin, FL 34698
Phone (727) 453-1970

13911 Lakeshore Blvd
Ste C
Hudson, FL 34667

8520 Government Dr
New Port Richey, FL 34654
Phone (727) 844-3377

7435 Plathe Rd
New Prt Rchy, FL 34653
Phone (727) 421-9421

7220 Baillie Dr
New Prt Rchy, FL 34653
Phone (727) 494-8245

11291 County Line Rd
Spring Hill, FL 34609
Phone (321) 917-2042

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1790737922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136072",
            "telephone_number": "352-799-0046",
            "fax_number": "352-799-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11479 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137367",
            "telephone_number": "352-592-7777",
            "fax_number": "352-592-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "DALTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-597-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "2005-00475004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ATTACHED TO GRP# DR6927",
            "identifier": "P01046782",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.