Active NPI
Benjamin Medical Associates, Forney. PA
Doing business as Bma Forney
- Family Medicine Physician
- Forney, TX
National Provider Identifier
1821279787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L 2800
- Legal business name
- BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA
- Doing business as
- Bma Forney
- Practice address
- 124 E US Highway 80
Ste 104
Forney, TX 75126-8612 - Phone
- (972) 552-2621
- Fax
- (972) 552-2620
- NPI assigned
- Nov 20, 2007
- Last updated
- Dec 9, 2010
- Organization subpart
- Yes
- Parent organization
- BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jense Benjamin, MD
- Title
- President
- Phone
- 97255222621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L 2800 | TX | Primary |
Addresses
Primary practice location
124 E US Highway 80
Ste 104
Forney, TX 75126-8612
Mailing address
1611 N Belt Line Rd
Ste a
Mesquite, TX 75149-1722
Phone (972) 613-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182616601 | Medicaid | TX |
Other names 1
- BMA FORNEY
National Provider Directory
National Provider Directory- Part of
- Benjamin Medical Associates Forney PA
Locations
207 S FM 548
#A
Forney, TX 75126
Phone (945) 536-9444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291852800000",
"number": "1821279787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 N BELT LINE RD",
"address_2": "STE A",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751491722",
"telephone_number": "972-613-1000",
"fax_number": "972-613-4232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E US HIGHWAY 80",
"address_2": "STE 104",
"city": "FORNEY",
"state": "TX",
"postal_code": "751268612",
"telephone_number": "972-552-2621",
"fax_number": "972-552-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA",
"enumeration_date": "2007-11-20",
"last_updated": "2010-12-09",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "JENSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "97255222621",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L 2800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182616601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BMA FORNEY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.