Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonny Benjamin Petty, PA-C

Individual provider Physician Assistant · NPI 1194094961

Bonny Benjamin Petty, PA-C is a Physician Assistant in Round Rock, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3001 Joe Dimaggio Blvd Ste 900B
Round Rock, TX 78665-3976
Phone: (512) 729-1800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07479 (TX)

Record details

NPI number1194094961
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 22, 2011
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

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