NPIMap

Individual provider Active NPI

Manila Bobba, PA-C

  • Physician Assistant
  • Weatherford, TX
National Provider Identifier
1144552431
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18190 Issued in TX
Practice address
2111 Fort Worth Hwy
Weatherford, TX 76086-4834
Phone
(972) 544-6600
Fax
(972) 544-6604
NPI assigned
Feb 11, 2010
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18190 TX Primary

Addresses

Primary practice location

2111 Fort Worth Hwy
Weatherford, TX 76086-4834

Mailing address

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone (972) 544-6600

Other practice location 1

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone (972) 544-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100512001092 AZ Practitioner - Physician Assistant 4688702608 Reassigns benefits to 1 organization
I20260107003036 TX Practitioner - Physician Assistant 4688702608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

2500 Canyon Rd
Suite A1
Bullhead City, AZ 86442-8492
Phone (928) 704-4499

2585 Miracle Mile
Bullhead City, AZ 86442-7522

3015 Hway
95 Suite 105
Bullhead City, AZ 86442-4334
Phone (928) 763-2001

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18190TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Siripurapu Associates PLLC Medical Associates of North Texas Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Desert Palms Medical Associates Inc Internal Medicine CurrentSince Jan 26, 2022 Accepting new patients
Sundance Medical Associates PLLC Past Accepting new patients

Locations

3015 Highway 95
Ste 105
Bullhead City, AZ 86442
Phone (928) 763-2001

1023 Lipscomb St
Ste 200
Fort Worth, TX 76104
Phone (972) 544-6600

2111 Fort Worth Hwy
Weatherford, TX 76086
Phone (817) 596-3700

2111 Fort Worth Hwy
Ste 100
Weatherford, TX 76086
Phone (972) 544-6600

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1144552431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 LIPSCOMB ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043102",
            "telephone_number": "972-544-6600",
            "fax_number": "972-544-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 FORT WORTH HWY",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864834",
            "telephone_number": "972-544-6600",
            "fax_number": "972-544-6604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1023 Lipscomb St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043102",
            "country_code": "US",
            "telephone_number": "972-544-6600",
            "fax_number": "972-544-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBBA",
        "first_name": "MANILA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.