Benjamin Newsom LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BENJAMIN NEWSOM LLC

Practice address

13 Heyman LN
Alexandria, LA 71303-3574

Phone

(337) 303-6546

Fax

(318) 448-6454

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Benjamin Newsom, MDNPI 1619233236

Title

MD/Owner

Phone

(337) 303-6546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Newsom, M.D.

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1619233236
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1942805296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13440",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713153440",
            "telephone_number": "337-303-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HEYMAN LN",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033574",
            "telephone_number": "337-303-6546",
            "fax_number": "318-448-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN NEWSOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "337-303-6546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belle Grande Nursing & Rehabilitation Center LLC
• Jasmine Belmon
• Jacqueline Below, LPC
• Isaiah Joseph Benavides
• Stephanie Moulard Benavides
• John P. Benjamin Jr., DDS
• Brett Michael Bennett, O.D.
• Robin Ray Bennett, M.D.
• Roger D Bennett I, L.A.C.
• Jeanne Margaret Gralapp Benniefield, FNP-C

• Internal Medicine Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.