Bobby John Winner, LSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

2815 Saint Paul Rivera
Round Rock, TX 78665-5708

Phone

(512) 769-9529

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• BJW and Associates LLC

  • Surgical Physician Assistant
  • Round Rock, TX
  • NPI 1710672555
  NPD (past) Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1083816276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786341268",
            "telephone_number": "512-769-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 SAINT PAUL RIVERA",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786655708",
            "telephone_number": "512-769-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNER",
        "first_name": "BOBBY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis J Wilson, M.D.
• Trinity Moreno Wilson, PTA
• Zaw Win, MD
• Taylor N Wingard
• Hollie Wingate, BCBA
• Eridian Winter, LMFT-A
• Jakob Ryan Wisbrock
• Araceli H. Wisnoski, B.S., R.PH.
• Mandy Withers
• Within Her LLC

• Surgical Physician Assistant in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.