DR. MARK RICHARD BENFIELD MD
NPI 1811004245
Pediatrics - Pediatric Nephrology in Cullman, AL
NPI Status: Active since August 23, 2006
Contact Information
1801 PARKVIEW DRIVE NE
CULLMAN, AL
ZIP 35058
Phone: (205) 558-3200
Fax: (205) 623-1090
- Individual
- Male
- Pediatrics
- Pediatric Nephrology
- Accepts Insurance
- PECOS Enrolled
About MARK BENFIELD
This page provides the complete NPI Profile along with additional information for Mark Benfield, a pediatrician established in Cullman, Alabama with a medical specialization in Pediatrics, focusing in pediatric nephrology . The healthcare provider is registered in the NPI registry with number 1811004245 assigned on August 2006. The practitioner's primary taxonomy code is 2080P0210X with license number 12284 (AL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1811004245
- Provider Name
- DR. MARK RICHARD BENFIELD MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1801 PARKVIEW DRIVE NE CULLMAN, AL 35058
- Location Phone
- (205) 558-3200
- Location Fax
- (205) 623-1090
- Mailing Address
- 1801 PARKVIEW DRIVE NE CULLMAN, AL 35058
- Mailing Phone
- (205) 558-3200
- Mailing Fax
- (205) 623-1090
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-23-2006
- Last Update Date
- 05-21-2025
- Code Navigator
A pediatrician like Mark Benfield is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Nephrology
- Taxonomy Code
- 2080P0210X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 12284
- License State
- AL
- Taxonomy Description
- A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Saver Silver EPO - EPO
- Blue Standardized Silver EPO - EPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Simple Chronic Care CKM - EPO
- Gold Classic Standard - EPO
- Gold Simple - EPO
- Silver Classic Standard - EPO
- Silver Simple - EPO
- Silver Simple Chronic Care CKM - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000015888 | MEDICAID (05) | AL | |
| 000028811 | MEDICAID (05) | AL | |
| 122391 | MEDICAID (05) | AL | |
| 0120252 | MEDICAID (05) | MS |
Medicare Participation & PECOS Enrollment Status
Mark Benfield is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. MARK RICHARD BENFIELD MD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811004245, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811004245, enumerated as an "individual" on August 23, 2006.
The provider is located at 1801 PARKVIEW DRIVE NE CULLMAN, AL 35058 and the phone number is (205) 558-3200.
Pediatrics with taxonomy code 2080P0210X and a focus in Pediatric Nephrology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Oscar. Please consult your insurance carrier or call the provider to verify.
