MEDICARE: MR. BENJAMIN ANDREW BISHOP DC

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	111NI0013X	Independent Medical Examiner Chiropractor	17523	TX

General Provider Information

NPI Number	:	1952021230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BENJAMIN ANDREW BISHOP DC

Provider Business Mailing Address
First Line	:	8800 US HIGHWAY 380 STE 800
Second Line	:
City	:	CROSSROADS
State	:	TX
Zip	:	76227-2516
Country	:	US
Telephone Number	:	940-440-1211
Fax Number	:	940-440-1212

Provider Business Practice Location Address
First Line	:	3505 OCEANVIEW DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-6057
Country	:	US
Telephone Number	:	469-684-1821
Fax Number	:

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

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	02/15/2026

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