Individual provider Active NPI

Michael W Bebbington, MD

  • Maternal & Fetal Medicine Physician
  • Austin, TX
National Provider Identifier
1033292750
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
P2827 Issued in TX
Practice address
4910 Mueller Blvd Ste 130
Austin, TX 78723-3079
Phone
(512) 324-0040
Fax
(512) 879-6834
NPI assigned
Oct 24, 2006
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 2016029129 MO
Maternal & Fetal Medicine Physician 207VM0101X P2827 TX Primary

Addresses

Primary practice location

4910 Mueller Blvd Ste 130
Austin, TX 78723-3079

Mailing address

4910 Mueller Blvd Ste 130
Austin, TX 78723-3079
Phone (512) 324-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120418000593 TX Practitioner - Obstetrics/Gynecology 6204825722 Reassigns benefits to 1 organization
I20160926001619 MO Practitioner - Obstetrics/Gynecology 6204825722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
001107NYMDAcupuncturist
227414NYMDPediatric Anesthesiology Physician
P2827TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Dell Children's Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Washington University Maternal & Fetal Medicine CurrentSince Oct 17, 2016 Accepting new patients
Washington University CurrentSince Oct 17, 2016 Accepting new patients

Locations

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

4901 Forest Park Ave
Ste 710
Saint Louis, MO 63108
Phone (314) 362-4211

660 S Euclid Ave
#8064
Saint Louis, MO 63110
Phone (314) 747-8274

660 S Euclid Ave
#C
Saint Louis, MO 63110

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

4910 Mueller Blvd
Ste 103
Austin, TX 78723
Phone (512) 324-0040

Interoperability endpoints

  • Direct secure messaging: mbebbington158476@direct.carenet.org
  • Direct secure messaging: michael.bebbington.1@16041.direct.athenahealth.com
  • Direct secure messaging: michael.bebbington.1@8363.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1033292750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MUELLER BLVD STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0040",
            "fax_number": "512-879-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MUELLER BLVD STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0040",
            "fax_number": "512-879-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBBINGTON",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "2016029129",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "P2827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.