Organization Active NPI

Benjamin Edery MD PA

  • Procedural Dermatology Physician
  • Houston, TX
National Provider Identifier
1831292127
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
F0988 Issued in TX
Legal business name
BENJAMIN EDERY MD PA
Practice address
7737 Southwest Freeway
Ste 750
Houston, TX 77074-1878
Phone
(713) 981-1802
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Benjamin Edery, M.D.
Title
President
Phone
(713) 981-1802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X F0988 TX Primary

Addresses

Primary practice location

7737 Southwest Freeway
Ste 750
Houston, TX 77074-1878

Mailing address

7737 Southwest Freeway
Ste 750
Houston, TX 77074-1878
Phone (713) 981-1802

National Provider Directory

National Provider Directory

Locations

7737 Southwest Fwy
Ste 750
Houston, TX 77074
Phone (713) 981-1802

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1831292127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FREEWAY",
            "address_2": "STE 750",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741878",
            "telephone_number": "713-981-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FREEWAY",
            "address_2": "STE 750",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741878",
            "telephone_number": "713-981-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN EDERY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "EDERY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-981-1802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "F0988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.