Debenedetto, Richard Bruce
Debenedetto, Richard Bruce is an sole proprietor health care provider with primary practice located at 2217 Padre Blvd , South Padre Island TX 78597. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Debenedetto, Richard Bruce can be contacted via phone (956) 761-4649.Contact Information
Primary practice address
2217 Padre Blvd
South Padre Island TX 78597
Phone: (956) 761-4649
Fax: (866) 594-1025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | J9579 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J9579 | Texas |
Profile Details
| NPI number | 1679549513 |
|---|---|
| LBN Legal business name | Debenedetto, Richard Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Oct 3rd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679549513 | NPPES |
| Texas | Other | 8CE910 | BCBS |
| Texas | MEDICAID | 113326621 | BCBS |
| Texas | Other | 8CE910 | BCBS |
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