Individual provider Active NPI

Bennie Padgett, MD

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1790304517
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
V0498 Issued in TX
Practice address
5615 H Mark Crosswell Jr St
Houston, TX 77021-1080
Phone
(803) 640-0678
NPI assigned
Apr 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X V0498 TX Primary

Addresses

Primary practice location

5615 H Mark Crosswell Jr St
Houston, TX 77021-1080

Mailing address

625 19TH St S
Birmingham, AL 35233-1900

Other practice location 1

2800 S MacGregor Way
Houston, TX 77021-1032
Phone (803) 640-0678

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
I20240730003409 TX Practitioner - Psychiatry 1557808235 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jul 22, 2024 Accepting new patients
Ut Physicians Psychiatry CurrentSince Jul 22, 2024 Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients

Locations

5615 H Mark Crosswell Jr St
Houston, TX 77021
Phone (713) 500-1500

2800 S Macgregor Way
Houston, TX 77021
Phone (713) 741-5000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
#135
Houston, TX 77030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1790304517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 H MARK CROSSWELL JR ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211080",
            "telephone_number": "803-640-0678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 S MacGregor Way",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770211032",
            "country_code": "US",
            "telephone_number": "803-640-0678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "BENNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V0498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.