Organization Active NPI

Jeffrey M Benzick MD PA

  • Neurology Physician
  • San Antonio, TX
National Provider Identifier
1982828018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L7665 Issued in TX
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey M Benzick, MDNPI 1447295316
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
L7665OtherTXTX MEDICAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.