Individual provider Active NPI

Benjamin Trevino, P.A.-C

  • Medical Physician Assistant
  • Harlingen, TX
National Provider Identifier
1982021408
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA09008 Issued in TX
Practice address
5505 S Expressway 77 Ste 205
Harlingen, TX 78550-3222
Phone
(956) 421-2757
Fax
(956) 464-3339
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA09008 TX Primary

Addresses

Primary practice location

5505 S Expressway 77 Ste 205
Harlingen, TX 78550-3222

Mailing address

5505 S Expressway 77 Ste 205
Harlingen, TX 78550-3222
Phone (956) 421-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323001856 TX Practitioner - Physician Assistant 0042537490 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09008TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jose F. Pena, MD & Associates PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: benjamin.trevino.1@30239.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1982021408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 S EXPRESSWAY 77 STE 205",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503222",
            "telephone_number": "956-421-2757",
            "fax_number": "956-464-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 S EXPRESSWAY 77 STE 205",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503222",
            "telephone_number": "956-421-2757",
            "fax_number": "956-464-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.