Benjamin Theodore Arthur, M.D.
Individual provider Active NPI Family Medicine Physician · Fort Gordon, GA
NPI 1831472463 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1831472463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101250217 (VA)
- Practice address
- 300 W Hospital Rd
Fort Gordon, GA 30905 - Phone
- (706) 787-1506
- Fax
- (706) 787-7201
- NPI assigned
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210920002420 | VA | Order and Referring Only - Family Practice |
5799182697 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101250217 | VA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101250217 | VA | Yes |
Addresses
Primary practice location
300 W Hospital Rd
Fort Gordon, GA 30905
Mailing address
646 Cornerstone PL
Evans, GA 30809-6706
Phone (706) 787-1506
Other practice location 1
7950 Martin Loop
Fort Benning, GA 31905-5648
Phone (706) 544-1482
Other practice location 2
7950 Martin Loop
Fort Benning, GA 31905-5648
Phone (706) 544-1482
Other providers in Fort Gordon, GA
- John Glenn Angelo
- Nathaniel Angus
- Andrew Anklowitz
- Marcos Aranda
- William Charles Arnett
- Theodore A Artis Jr.
- Stanley Ash
- Mable Devon Atkins
- Olasimbo M Babatope
- Ronette Marie Bailey
All providers in Fort Gordon, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.