Active NPI
F Bennett Walker, M.D.
- Anesthesiology Physician
- Jacksonville, FL
National Provider Identifier
1902880776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME0047438
- Practice address
- 820 Prudential Dr
Suite 606
Jacksonville, FL 32207-8210 - Phone
- (904) 398-3356
- Fax
- (904) 398-5397
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME0047438 | FL | Primary |
Addresses
Primary practice location
820 Prudential Dr
Suite 606
Jacksonville, FL 32207-8210
Mailing address
851 Trafalgar CT.
Suite 200E
Maitland, FL 32751
Phone (407) 667-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042569900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0047438 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian L Koppel MD PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1457623514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1902880776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 TRAFALGAR CT.",
"address_2": "SUITE 200E",
"city": "MAITLAND",
"state": "FL",
"postal_code": "32751",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR",
"address_2": "SUITE 606",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078210",
"telephone_number": "904-398-3356",
"fax_number": "904-398-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "F",
"middle_name": "BENNETT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME0047438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042569900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.