Bruce G. Kinzy, M.D., P.a.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D8745 Issued in TX

Legal business name

BRUCE G. KINZY, M.D., P.A.

Practice address

30975 Elise Ann
Bulverde, TX 78163-4139

Phone

(830) 980-4660

Fax

(830) 438-7646

NPI assigned

Jun 2, 2005

Last updated

Sep 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce G Kinzy, M.D.NPI 1780686840

Title

President

Phone

(830) 980-4660

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce G. Kinzy, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bulverde, TX
  • NPI 1780686840

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1144222191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30975 ELISE ANN",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781634139",
            "telephone_number": "830-980-4660",
            "fax_number": "830-438-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30975 ELISE ANN",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781634139",
            "telephone_number": "830-980-4660",
            "fax_number": "830-438-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE G. KINZY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "KINZY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-980-4660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D8745",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "D8745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178860601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Binney
• Blue Mountain Health Care LLC (Blue Mountain Health Care)
• Kaeleigh Nicole Bochat, OD
• Dawn Marie Booher-Terry, LCSW
• Hannah Ellen Booth
• Lisa Larae Buendicho, LPC
• Bulverde Counseling
• Bulverde Family Medicine PA
• Bulverde Point Dental, PLLC
• Bulverde Vision Center, PC (Bulverde Vision Source)

• Physical Medicine & Rehabilitation Physician in Bulverde, TX
• Providers in Bulverde, 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 Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.