Bonna Benjamin, MD

Pediatric Surgery Physician · Amarillo, TX

Individual Active NPI

NPI number 1861408015

Practice location

1901 Medi Park Dr
Ste 2051
Amarillo, TX 79106-2169
Phone
(806) 468-4300
Fax
(806) 468-4398

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NPI record

NPI
1861408015
Entity type
Individual (Type 1)
Enumeration date
July 31, 2006
Last updated
July 17, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Surgery Physician Primary 2086S0120X J8911 TX
Pediatrics Physician 208000000X J8911 TX

Mailing address

1400 Wallace Blvd
Attn: Credentialing Dept
Amarillo, TX 79106-1708
Phone
(806) 468-4300
Fax
(806) 468-4398

About Dr. Benjamin

Bonna Benjamin, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Surgery Physician (code 2086S0120X). The practice location is 1901 Medi Park Dr, Ste 2051, Amarillo, TX 79106-2169. The NPI number 1861408015 was assigned on July 31, 2006 and the record was last updated on July 17, 2013.

Dr. Benjamin lists 2 licenses in the registry: #J8911 (TX) for Pediatric Surgery Physician; #J8911 (TX) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bonna Benjamin, MD?

The NPI number is 1861408015.

What is the phone number of Dr. Benjamin?

The phone number listed for the practice location is (806) 468-4300.

Where is Dr. Benjamin located?

1901 Medi Park Dr, Ste 2051, Amarillo, TX 79106-2169.

What is the taxonomy code for Dr. Benjamin?

The primary taxonomy code is 2086S0120X – Pediatric Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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