MEDICARE: BENJAMIN RANDOLPH CHILDS 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	207X00000X	Orthopaedic Surgery Physician	U9490	TX

General Provider Information

NPI Number	:	1548827793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN RANDOLPH CHILDS MD

Provider Business Mailing Address
First Line	:	590 MEDICAL CENTER RD
Second Line	:
City	:	FORT HOOD
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 MEDICAL CENTER RD
Second Line	:
City	:	FORT HOOD
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:	254-553-0627
Fax Number	:

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

Provider Enumeration Date	:	05/23/2019
Last Update Date	:	12/17/2025

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