Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BO LEE SELF-GILBERT
NPI 1760336630
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since February 25, 2026PECOS Enrolled
10807 PERRIN BEITEL RD STE 300, SAN ANTONIO, TX 78217(210) 245-7862 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bo Lee Self-gilbert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BO LEE SELF-GILBERT (NPI 1760336630) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (1087965) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760336630
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBO LEE SELF-GILBERT
Location Address10807 PERRIN BEITEL RD STE 300San Antonio, TX 78217-3144
Mailing Address6618 Legato CurvSan Antonio, TX 78252-1862
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 25, 2026
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
NPI 1760336630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · 1087965
10807 PERRIN BEITEL RD STE 300, San Antonio, TX 78217

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bo Lee Self-gilbert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062997521
PECOS Enrollment IDI20260401003888
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
10807 PERRIN BEITEL RD STE 300
SAN ANTONIO, TX 78217
Psychologist (Clinical)
10807 PERRIN BEITEL RD STE 300
SAN ANTONIO, TX 78217
Psychiatry & Neurology (Psychiatry)
10807 PERRIN BEITEL RD STE 300
SAN ANTONIO, TX 78217
Nurse Practitioner (Psychiatric/Mental Health)
10807 PERRIN BEITEL RD STE 300
SAN ANTONIO, TX 78217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bo Self-gilbert's NPI number?

The NPI number for Bo Self-gilbert is 1760336630. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Where is Bo Self-gilbert located?

Bo Self-gilbert practices at 10807 Perrin Beitel Rd Ste 300, San Antonio, TX 78217. The listed phone number is (210) 245-7862.

What is Bo Self-gilbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bo Self-gilbert enrolled in Medicare?

Yes. Bo Self-gilbert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bo Self-gilbert was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.