Active NPI
Benjamin Davies Bartsch
- Contractor
- Gainesville, FL
National Provider Identifier
1952744708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 71894
- Practice address
- 1411 NW 6TH St
Unit 120
Gainesville, FL 32601-4021 - Phone
- (352) 519-5106
- NPI assigned
- Apr 11, 2013
- Last updated
- Aug 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 71894 | FL | Primary |
Addresses
Primary practice location
1411 NW 6TH St
Unit 120
Gainesville, FL 32601-4021
Mailing address
1031 NW 6TH St
Ste F-1
Gainesville, FL 32601-2226
Phone (352) 872-2107
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71894 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1952744708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 NW 6TH ST",
"address_2": "STE F-1",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326012226",
"telephone_number": "352-872-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 NW 6TH ST",
"address_2": "UNIT 120",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326014021",
"telephone_number": "352-519-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTSCH",
"first_name": "BENJAMIN",
"middle_name": "DAVIES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-11",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "71894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.