BONNA BENJAMIN MD
NPI 1861408015
Surgery - Pediatric Surgery in Amarillo, TX

Active since July 31, 2006
1901 MEDI PARK DR, STE 2051, AMARILLO, TX 79106(806) 468-4300(806) 468-4398 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bonna Benjamin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNA BENJAMIN MD (NPI 1861408015) is an individual pediatric surgery provider in Amarillo, Texas, licensed in Texas (J8911) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1861408015
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameBONNA BENJAMINCredential: MD
Location Address1901 MEDI PARK DR, STE 2051Amarillo, TX 79106-2169
Mailing Address1400 Wallace Blvd, Attn: Credentialing DeptAmarillo, TX 79106-1708 · (806) 468-4300 · Fax (806) 468-4398
Fax(806) 468-4398
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 17, 2013
NPI 1861408015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License Licensed in TX · J8911
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedPediatricsTaxonomy 208000000X · License J8911 (TX)
1901 MEDI PARK DR, Amarillo, TX 79106

Other Identifiers 7

MedicaidJ8716NM
Medicare PINTXB106212TX
Medicaid124606806TX
Medicare UPIND19645
Medicaid100027640AOK
Medicare ID-Type Unspecified8E0576TX
Medicaid124606807TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1901 MEDI PARK DR, SUITE 2050
AMARILLO, TX 79106
Occupational Therapy Assistant
1901 MEDI PARK DR, 65
AMARILLO, TX 79106
Orthopaedic Surgery
1901 MEDI PARK DR, SUITE 103
AMARILLO, TX 79106
Podiatrist
1901 MEDI PARK DR, STE 1054
AMARILLO, TX 79106
Physical Therapy Assistant
1901 MEDI PARK DR, SUITE 65
AMARILLO, TX 79106
Counselor (Mental Health)
1901 MEDI PARK DR, 1036
AMARILLO, TX 79106
Physical Therapist
1901 MEDI PARK DR, SUITE 1010
AMARILLO, TX 79106
Pain Medicine (Pain Medicine)
1901 MEDI PARK DR, SUITE 2002
AMARILLO, TX 79106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonna Benjamin's NPI number?

The NPI number for Bonna Benjamin is 1861408015. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Bonna Benjamin located?

Bonna Benjamin practices at 1901 Medi Park Dr Ste 2051, Amarillo, TX 79106. The listed phone number is (806) 468-4300.

What is Bonna Benjamin's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Bonna Benjamin was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.