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NPI Code Detail

MEDICARE: BENJAMIN WALKER APPELO MD

MEDICARE: BENJAMIN WALKER APPELO 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
1207W00000XOphthalmology PhysicianME161231FL
2207W00000XOphthalmology Physician32386MS
3208D00000XGeneral Practice Physician32455NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1XM550OTHERFLHFMG
2XM560OTHERFLHFPS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063909158
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN WALKER APPELO MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-292-5077
Fax Number : 210-292-7868
Provider Business Practice Location Address
First Line : 3631 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5702
Country : US
Telephone Number : 228-875-2020
Fax Number : 228-875-2036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2018
Last Update Date : 06/04/2026

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Directions to “ BENJAMIN WALKER APPELO MD” Practice Location

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