Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861408015 Individual Practitioner Female Practitioner

Dr. Bonna Benjamin , MD

Surgery - Pediatric Surgery • Amarillo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Bonna Benjamin, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Amarillo, TX. Practice services are available at 1901 MEDI PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1901 Medi Park Dr
Ste 2051

Amarillo, TX 791062169

Telephone 8064684300
Fax 8064684398
Associated Practice Facility / Clinic
🏢 Amarillo Pain Associates Facility NPI 1063500379

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Amarillo, TX (129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License TX J8911

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX J8911

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100027640A (OK)
Medicaid State Provider ID
124606807 (TX)
Medicaid State Provider ID
J8716 (NM)
Medicaid State Provider ID
124606806 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Pia Habersang

Clinical Nurse Specialist - Pediatrics

NPI 1538324470
Michael Doyal , FNP-BC

Nurse Practitioner - Family

NPI 1750544672

Family Nurse Practitioner (Board Certified)

Phyllis Mclemore , NP

Clinical Nurse Specialist - Pediatrics

NPI 1790940633

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2013

Registered at 1901 MEDI PARK DR, STE 2051, AMARILLO, TX 791062169 (Tel: 8064684300)

📍
Updated Business Mailing Address July 17, 2013

Registered at 1400 WALLACE BLVD, ATTN: CREDENTIALING DEPT, AMARILLO, TX 791061708 (Tel: 8064684300)

👤
Provider Name / Credentials Updated July 17, 2013

Recorded as BONNA BENJAMIN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2013

Pediatrics (License #J8911 in TX)

🟢
Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861408015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 17, 2013
Sole Proprietor: No

Mailing Address

1400 Wallace Blvd, Attn: Credentialing Dept

Amarillo, TX 791061708

Phone: 8064684300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.