Active NPI
Richard David Benson, M.D.
- Nephrology Physician
- Boone, NC
National Provider Identifier
1972506103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 33941
- Practice address
- 400 Shadowline Dr
Suite 101
Boone, NC 28607-5089 - Phone
- (828) 263-8707
- Fax
- (828) 263-8710
- NPI assigned
- May 23, 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 33941 | NC | Primary |
Addresses
Primary practice location
400 Shadowline Dr
Suite 101
Boone, NC 28607-5089
Mailing address
400 Shadowline Dr
Suite 101
Boone, NC 28607-5089
Phone (828) 263-8707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124010 | Medicaid | SC |
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 |
|---|---|---|---|
| 33941 | NC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bio-Medical Applications of Tennessee, Inc. | Past | Accepting new patients |
Interoperability endpoints
- richard-benson@brnephrology.e-mdsdirect.com
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1972506103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SHADOWLINE DR",
"address_2": "SUITE 101",
"city": "BOONE",
"state": "NC",
"postal_code": "286075089",
"telephone_number": "828-263-8707",
"fax_number": "828-263-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SHADOWLINE DR",
"address_2": "SUITE 101",
"city": "BOONE",
"state": "NC",
"postal_code": "286075089",
"telephone_number": "828-263-8707",
"fax_number": "828-263-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "RICHARD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "33941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124010",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.