NPIMap

Organization Active NPI

Benson OB/GYN Center, P.a.

  • Obstetrics & Gynecology Physician
  • Bryan, TX
National Provider Identifier
1922055011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H0175 Issued in TX
Legal business name
BENSON OB/GYN CENTER, P.A.
Practice address
3740 Copperfield Dr
Suite 105
Bryan, TX 77802-5932
Phone
(979) 776-1660
Fax
(979) 776-1314
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Royal Henry Benson III, MD
Title
President
Phone
(979) 776-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X H0175 TX Primary

Addresses

Primary practice location

3740 Copperfield Dr
Suite 105
Bryan, TX 77802-5932

Mailing address

3740 Copperfield Dr
Suite 105
Bryan, TX 77802-5932
Phone (979) 776-1660

Other identifiers 2

IdentifierTypeStateIssuer
0069BNOtherTXBLUE CROSS BLUE SHIELD
P00069BN6MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Benson OBGYN Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922055011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 COPPERFIELD DR",
            "address_2": "SUITE 105",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025932",
            "telephone_number": "979-776-1660",
            "fax_number": "979-776-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 COPPERFIELD DR",
            "address_2": "SUITE 105",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025932",
            "telephone_number": "979-776-1660",
            "fax_number": "979-776-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON OB/GYN CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENSON III",
        "authorized_official_first_name": "ROYAL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-776-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H0175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0069BN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00069BN6",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.