Individual provider Active NPI

Bonnie Elizabeth Eady, D.O.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1962664664
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P4158 Issued in TX
Practice address
1200 Brooklyn Ave Ste 220
San Antonio, TX 78212-4810
Phone
(210) 228-0705
Fax
(210) 472-0255
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P4158 TX Primary

Addresses

Primary practice location

1200 Brooklyn Ave Ste 220
San Antonio, TX 78212-4810

Mailing address

1200 Brooklyn Ave Ste 220
San Antonio, TX 78212-4810
Phone (210) 228-0705

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BONNIE.EADY@hca8.eclinicaldirectplus.com

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
I20120918000639 TX Practitioner - Obstetrics/Gynecology 3779731633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite OB-GYN Services of El Paso, PLLCGroup PAC ID 9537466958, 13 clinicians

Practice addresses (Care Compare)

10201 Gateway Blvd W
El Paso, TX 79925-7647

1700 N Oregon St
Suite 660
El Paso, TX 79902-3577
Phone (915) 313-2720

1801 N Oregon St
El Paso, TX 79902-3524
Phone (915) 521-1200

Merit-based Incentive Payment System (MIPS)

Final score
88 of 100Reported as group
Quality
87.87
Promoting interoperability
99
Improvement activities
40
Cost
72.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4158TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite OB-GYN Services of El Paso, PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2018 Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

1700 N Oregon St
Ste 755
El Paso, TX 79902
Phone (915) 313-9383

1700 N Oregon St
Ste 500
El Paso, TX 79902
Phone (915) 351-6020

10201 Gateway Blvd W
Ste 201
El Paso, TX 79925
Phone (915) 500-3076

Interoperability endpoints

  • Direct secure messaging: 2369-eady-bonnie@direct.leadingreach.com
  • Direct secure messaging: bonnie.eady@hca8.eclinicaldirectplus.com

Organizations & group practices 2

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1962664664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124810",
            "telephone_number": "210-228-0705",
            "fax_number": "210-472-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124810",
            "telephone_number": "210-228-0705",
            "fax_number": "210-472-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADY",
        "first_name": "BONNIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P4158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BONNIE.EADY@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1200 Brooklyn Ave Ste 220",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782124810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.