Active NPI
Carrie Bobick, P.A.
- Medical Physician Assistant
- Austin, TX
National Provider Identifier
1710962774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA04522
- Practice address
- 3708 Jefferson St Ste a
Austin, TX 78731-6206 - Phone
- (512) 459-6503
- Fax
- (512) 454-7453
- NPI assigned
- Dec 13, 2005
- Last updated
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA04522 | TX | Primary |
Addresses
Primary practice location
3708 Jefferson St Ste a
Austin, TX 78731-6206
Mailing address
13376 Research Blvd
Ste 110
Austin, TX 78750-2257
Phone (737) 346-3499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 437452YMVU | Other | WELLMED NETWORKS INC |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04522 | TX | MD | Medical Physician Assistant |
Interoperability endpoints
- carrie.bobick@wellmed.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
dba WellMed Cardiology
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1386948677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1710962774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13376 RESEARCH BLVD",
"address_2": "STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787502257",
"telephone_number": "737-346-3499",
"fax_number": "737-346-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 JEFFERSON ST STE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316206",
"telephone_number": "512-459-6503",
"fax_number": "512-454-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBICK",
"first_name": "CARRIE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA04522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED NETWORKS INC",
"identifier": "437452YMVU",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.