Individual provider Active NPI

Bethany Elise Powell, M.D.

  • Family Medicine Physician
  • Galveston, TX
National Provider Identifier
1609057751
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3073 Issued in TX
Practice address
2027 61St St
Galveston, TX 77551-1401
Phone
(832) 589-9908
Fax
(833) 471-5594
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L3073 TX Primary

Addresses

Primary practice location

2027 61St St
Galveston, TX 77551-1401

Mailing address

2027 61St St
Galveston, TX 77551-1401
Phone (832) 589-9908

Other practice location 1

1802 Broadway St Ste 122
Galveston, TX 77550-4953
Phone (409) 310-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000688 TX Practitioner - Family Practice 0648467621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Health Primary Care PLLCGroup PAC ID 2466823570, 2 clinicians

Practice addresses (Care Compare)

2027 61St St
Galveston, TX 77551-1401
Phone (409) 789-4022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3073TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Primary Care PLLC CurrentSince Oct 1, 2025 Accepting new patients
City of Austin Past Accepting new patients
William Clark Medical Group PA Past Accepting new patients

Locations

2027 61st St
Galveston, TX 77551
Phone (409) 744-9800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25952/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAGDD

Organizations & group practices 3

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 1

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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1609057751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 61ST ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511401",
            "telephone_number": "832-589-9908",
            "fax_number": "833-471-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 61ST ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511401",
            "telephone_number": "832-589-9908",
            "fax_number": "833-471-5594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 Broadway St Ste 122",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775504953",
            "country_code": "US",
            "telephone_number": "409-310-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "BETHANY",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.