HOLT BENJAMIN MADDUX M.D. NPI 1275590606

NPI Information

NPI: 1275590606
Provider Name: HOLT BENJAMIN MADDUX, M.D.
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1325 WOLF PARK DR
SUITE 102
GERMANTOWN, TN
ZIP 38138
Phone: (901) 252-3400
Get Directions

Holt Benjamin Maddux, M.D. is an urology in Germantown, TN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Holt Benjamin Maddux, M.D. NPI is 1275590606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1325 WOLF PARK DR
SUITE 102
GERMANTOWN, TN
ZIP 38138-742
Phone: (901) 252-3400
Fax: (901) 682-0047

The NPI 1275590606 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		16103	MISSISSIPPI	No
2	208800000X	Urology		11107	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	731661	OTHER		FIRST HEALTH
2	12940170	OTHER		PHCS
3	3007327	MEDICAID	TENNESSEE
4	211159	OTHER		SOUTHERN HEALTH SERVICES
5	2596090	OTHER		CIGNA
6	0063189	OTHER	TENNESSEE	BLUE CROSS
7	85552	OTHER		BLUE CROSS AR
8	3007320	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
9	4563452	OTHER		AETNA
10	12940170	OTHER		HEALTH ASSURANCE EPA
11	D70052	MEDICARE UPIN
12	115806	OTHER		HEALTH LINK
13	02110025300	OTHER		QUAL CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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