Kenny-Bao Thai Tran, MD, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

KENNY-BAO THAI TRAN, MD, PA

Practice address

2000 Scenic Dr
Georgetown, TX 78626-7726

Phone

(512) 942-4700

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Kenny-Bao Thai Tran, MDNPI 1841501004

Title

Owner

Phone

(512) 942-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenny-Bao Tran, MD

  • Physical Medicine & Rehabilitation Physician
  • Georgetown, TX
  • NPI 1841501004
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1043626955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787670924",
            "telephone_number": "512-474-5700",
            "fax_number": "512-474-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "512-942-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY-BAO THAI TRAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KENNY-BAO",
        "authorized_official_middle_name": "THAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-942-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M. Gonzales, DDS, PC (Star Smiles Pediatric Dentistry)
• Kelly M. McCabe, LPC-S, LMFT-S, PLLC
• Crystal Kelly, MD
• Mackenzie Kelly, DPT
• Margaret Dubois Kelly, M.S, CCC-SLP
• Erin Kenny, RD
• Christina Lee Kepner, M. ED, LPC
• Holly Arnold Kerby, APRN, PMHNP-BC
• Patricia Kathryn Kerr, L.AC.
• Erin Kerwin

• Physical Medicine & Rehabilitation Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.