Organization Active NPI

Kenyon R. Behrens, D.O. , P.a

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1831363928
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G7994 Issued in TX
Legal business name
KENYON R. BEHRENS, D.O. , P.A
Practice address
7812 Gateway Blvd E
Suite 230
El Paso, TX 79915-1837
Phone
(915) 592-8223
Fax
(915) 592-8328
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Kenyon R. Behrens, D.O.
Title
Physician
Phone
(915) 592-8223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G7994 TX Primary

Addresses

Primary practice location

7812 Gateway Blvd E
Suite 230
El Paso, TX 79915-1837

Mailing address

7812 Gateway Blvd E
Suite 230
El Paso, TX 79915-1803
Phone (915) 592-8223

Other identifiers 3

IdentifierTypeStateIssuer
0067RFOtherTXBLUE CROSS AND BLUE SHIELD OF TEXAS
195580901MedicaidTX
DN3507OtherTXMEDICARE RAILROAD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1831363928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 GATEWAY BLVD E",
            "address_2": "SUITE 230",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151803",
            "telephone_number": "915-592-8223",
            "fax_number": "915-592-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 GATEWAY BLVD E",
            "address_2": "SUITE 230",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151837",
            "telephone_number": "915-592-8223",
            "fax_number": "915-592-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENYON R. BEHRENS, D.O. , P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "BEHRENS",
        "authorized_official_first_name": "KENYON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "915-592-8223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF TEXAS",
            "identifier": "0067RF",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195580901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DN3507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.