MEDICARE: BENJAMIN TODD DRURY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0105X	Surgery of the Hand (Surgery) Physician	M8635	TX
2	207X00000X	Orthopaedic Surgery Physician	M8635	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942274899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN TODD DRURY MD

Provider Business Mailing Address
First Line	:	2425 HIGHWAY 121
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-5011
Country	:	US
Telephone Number	:	817-540-4477
Fax Number	:	817-510-0185

Provider Business Practice Location Address
First Line	:	2425 HIGHWAY 121
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-5011
Country	:	US
Telephone Number	:	817-540-4477
Fax Number	:	817-510-0185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	09/15/2016

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