Individual provider Active NPI

Bethany L Dalby, DO

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1730685496
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S9124 Issued in TX
Practice address
5109 Medical Dr
San Antonio, TX 78229-5068
Phone
(210) 450-7090
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S9124 TX Primary

Addresses

Primary practice location

5109 Medical Dr
San Antonio, TX 78229-5068

Mailing address

5109 Medical Dr
San Antonio, TX 78229-5068
Phone (210) 450-7090

Other practice location 1

4301 W Markham St # 584
Little Rock, AR 72205
Phone (501) 686-5515

Other practice location 2

1 Childrens Way # 512-16
Little Rock, AR 72202-3500
Phone (501) 364-2833

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
I20210526001183 TX Practitioner - Emergency MedicinePractitioner - Addiction Medicine 9436407079 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Addiction Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comal Emergency Physicians PLLCGroup PAC ID 6901259936, 81 clinicians
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

244 Creekside Xing
New Braunfels, TX 78130-3927
Phone (830) 608-5600

5788 Eckhert Rd
San Antonio, TX 78240-3900
Phone (210) 450-7222

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9124TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jul 15, 2021 Accepting new patients
Comal Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 24, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Oct 29, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Oct 29, 2023 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

5788 Eckhert Rd
San Antonio, TX 78240
Phone (210) 450-6450

5109 Medical Dr
San Antonio, TX 78229
Phone (210) 450-7090

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1730685496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295068",
            "telephone_number": "210-450-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295068",
            "telephone_number": "210-450-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 584",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-686-5515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Way # 512-16",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722023500",
            "country_code": "US",
            "telephone_number": "501-364-2833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALBY",
        "first_name": "BETHANY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S9124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.