Active NPI
Jeffrey M Benzick MD PA
- Neurology Physician
- San Antonio, TX
National Provider Identifier
1982828018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- L7665
- Legal business name
- JEFFREY M BENZICK MD PA
- Practice address
- 12915 Jones Maltsberger Rd Ste 600
San Antonio, TX 78247-4277 - Phone
- (210) 403-2050
- Fax
- (210) 403-9890
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey M Benzick, MD
- Title
- Psychiatrist
- Phone
- (210) 403-2050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | L7665 | TX | Primary |
Addresses
Primary practice location
12915 Jones Maltsberger Rd Ste 600
San Antonio, TX 78247-4277
Mailing address
12915 Jones Maltsberger Rd Ste 600
San Antonio, TX 78247-4277
Phone (210) 403-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L7665 | Other | TX | TX MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1447295316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982828018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12915 JONES MALTSBERGER RD STE 600",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782474277",
"telephone_number": "210-403-2050",
"fax_number": "210-403-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12915 JONES MALTSBERGER RD STE 600",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782474277",
"telephone_number": "210-403-2050",
"fax_number": "210-403-9890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY M BENZICK MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BENZICK",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "210-403-2050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "L7665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICAL LICENSE",
"identifier": "L7665",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.