NPI age
14 years
Enumerated 2011-12-22
● Active
Type 1 · Individual
Bonny Benjamin Petty, PA-C
Petty is 1 of 148 physician assistant providers in Round Rock and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Practice location
3001 Joe Dimaggio Blvd Ste 900b
Round Rock, TX 786653976
Mailing address
1508 Crockett Gardens Rd # 200
Georgetown, TX 786284033
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 4 new physician assistant providers have been added in Round Rock in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.