Organization Active NPI

Blackstone Medical, PLLC

  • Internal Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1245137900
Registry record updated Oct 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BLACKSTONE MEDICAL, PLLC
Practice address
790 Generations Dr Ste 210
New Braunfels, TX 78130-0087
Phone
(214) 695-6446
NPI assigned
Oct 24, 2026
Last updated
Oct 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2026

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

Authorized official

Name
Cody Blackstone, DO
Title
Owner
Phone
(214) 695-6446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

790 Generations Dr Ste 210
New Braunfels, TX 78130-0087

Mailing address

5774 Reagan RDG
Schertz, TX 78108-2053
Phone (214) 695-6446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792800000000",
    "number": "1245137900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5774 REAGAN RDG",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781082053",
            "telephone_number": "214-695-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR STE 210",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300087",
            "telephone_number": "214-695-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-24",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A",
        "authorized_official_last_name": "BLACKSTONE",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-695-6446",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2026; 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.