David Carl, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD60763667 Issued in WA

Practice address

Benton City Clinic-Prosser Memorial Health
701 Dale Ave Suite a
Benton City, WA 99350

Phone

(509) 588-4075

Fax

(509) 588-4197

NPI assigned

Mar 26, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dcarl1110197@wm.providencedirect.org

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.

• Prosser Public Hospital District of Benton County

  • Critical Access Hospital
  • Prosser, WA
  • NPI 1306897681
  Medicare reassignment NPD
• Prosser Public Hospital District of Benton County

  • Rural Health Clinic/Center
  • Prosser, WA
  • NPI 1477088391
  NPD
• Prosser Public Hospital District of Benton County

  • Specialist
  • Walla Walla, WA
  • NPI 1518770155
  NPD
• Prosser Public Hospital District of Benton County

  • Rural Health Clinic/Center
  • Grandview, WA
  • NPI 1376026237
  NPD (past)
• Prosser Public Hospital District of Benton County

  • Rural Health Clinic/Center
  • Benton City, WA
  • NPI 1437199072
  NPD (past)
• Prosser Public Hospital District of Benton County

  • Gastroenterology Physician
  • Prosser, WA
  • NPI 1780495978
  NPD (past)

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1972920080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MEMORIAL ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501524",
            "telephone_number": "509-786-2222",
            "fax_number": "509-786-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BENTON CITY CLINIC-PROSSER MEMORIAL HEALTH",
            "address_2": "701 DALE AVE SUITE A",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "99350",
            "telephone_number": "509-588-4075",
            "fax_number": "509-588-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60763667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcarl1110197@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Benton City Clinic-Prosser Memorial Health",
            "address_2": "701 Dale Ave Suite A",
            "city": "Benton City",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Alicia Barrera I, RMA/RST/ESTHETICIAN
• Benton County Fire Dist No 2
• Better Sleep Washington
• McKenzie Lesley Burgess
• Jennifer Burk, RN
• Jennifer Dawson, NRP, ATC
• Oscar Del Valle, MSN -FNP
• Alexandra Flores
• Sandra A Garcia Chavez
• Greg W Gilliland, RN

• Pediatrics Physician in Benton City, WA
• Providers in Benton City, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.