Active NPI
Doctors at Home LLC
- Primary Care Clinic/Center
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 2005-00475004
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01046782 | Other | FL | RAILROAD MEDICARE ATTACHED TO GRP# DR6927 |
National Provider Directory
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Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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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.