Active NPI
Benny Pothen Phillips, M.D.
- Gynecologic Oncology Physician
- Lubbock, TX
National Provider Identifier
1962497305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- F2851
- Practice address
- 3621 22ND St
Suite 100
Lubbock, TX 79410-1301 - Phone
- (806) 796-1317
- Fax
- (806) 796-0426
- NPI assigned
- Sep 13, 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | F2851 | TX | Primary |
Addresses
Primary practice location
3621 22ND St
Suite 100
Lubbock, TX 79410-1301
Mailing address
3621 22ND St
Suite 100
Lubbock, TX 79410-1301
Phone (806) 796-1317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84141N | Other | TX | BLUE CROSS BLUE SHIELD |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962497305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 22ND ST",
"address_2": "SUITE 100",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101301",
"telephone_number": "806-796-1317",
"fax_number": "806-796-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 22ND ST",
"address_2": "SUITE 100",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101301",
"telephone_number": "806-796-1317",
"fax_number": "806-796-0426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "BENNY",
"middle_name": "POTHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "TX",
"license": "F2851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "84141N",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.