BONNA BENJAMIN MD NPI 1861408015

NPI Information

  • NPI: 1861408015
  • Provider Name: BONNA BENJAMIN, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • Address: 1901 MEDI PARK DR
    STE 2051
    AMARILLO, TX
    ZIP 79106
  • Phone: (806) 468-4300

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NPI Details

Bonna Benjamin, MD is a pediatric surgery surgery in Amarillo, TX. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Bonna Benjamin, MD NPI is 1861408015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 MEDI PARK DR
STE 2051
AMARILLO, TX
ZIP 79106-169
Phone: (806) 468-4300
Fax: (806) 468-4398

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/17/2013.

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
1208000000XPediatricsJ8911TEXASNo
22086S0120XSurgeryPediatric SurgeryJ8911TEXASYes

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
1J8716MEDICAIDNEW MEXICO
2TXB106212MEDICARE PINTEXAS
3124606806MEDICAIDTEXAS
4D19645MEDICARE UPIN
5100027640AMEDICAIDOKLAHOMA
68E0576MEDICARE ID-TYPE UNSPECIFIEDTEXAS
7124606807MEDICAIDTEXAS

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: 11/21/2025

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