Individual provider Active NPI

Girly Bennett, M.D.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1891731931
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M3906 Issued in TX
Practice address
6711 S New Braunfels Ave
San Antonio, TX 78223-3005
Phone
(210) 532-8811
NPI assigned
Jun 20, 2006
Last updated
Jul 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 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 M3906 TX Primary

Addresses

Primary practice location

6711 S New Braunfels Ave
San Antonio, TX 78223-3005

Mailing address

6711 S New Braunfels Ave
San Antonio, TX 78223-3005
Phone (210) 532-8811

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
I20061109000529 TX Practitioner - Psychiatry 6901804715 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3906TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Psychiatry CurrentSince Nov 18, 2024 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Aug 1, 2021 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Health and Human Services Commission CurrentSince Nov 18, 2024 Accepting new patients
Professional Imaging, PLLC PastSince Aug 4, 2024 Accepting new patients

Locations

4110 Guadalupe St
Austin, TX 78751
Phone (512) 419-2731

6711 S New Braunfels Ave
Ste 1
San Antonio, TX 78223
Phone (210) 532-8811

6711 S New Braunfels Ave
Ste 100
San Antonio, TX 78223
Phone (210) 531-7805

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1891731931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233005",
            "telephone_number": "210-532-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233005",
            "telephone_number": "210-532-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "GIRLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M3906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.