Benjamin Ross Park, DO

Diagnostic radiologist in San Angelo, Texas · NPI 1770922676

Benjamin Park is one of 99 diagnostic radiologists practicing in San Angelo, Texas. Benjamin Park practices with Shannon Clinic.

Registry record (NPPES)

NPI
1770922676
Type
Type 1 · Individual
Primary taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Address on file
22100 Bothell Everett Hwy
Bothell, WA 98021-8431
(208) 416-2932
Enumerated
Jun 24, 2013
Record last updated
Oct 6, 2026
License states listed
CO, TX, VA

Medicare (CMS)

Enrollment
Medicare-enrolled in CA, CO, FL, TX, VA
Diagnostic Radiology
Revalidation due
No date set by CMS

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Practice locations

More diagnostic radiologists in San Angelo

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.