Kevin Bruce West, MD MPH

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

M2196 Issued in TX

Practice address

1515 Truemper
BLDG 6612
Lackland a F B, TX 78236-5550

Phone

(210) 671-9654

Fax

(210) 671-6480

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1174549695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PAUL WAGNER DR",
            "address_2": "BLDG 1730 ATTN CREDENTIALS CMC CHARNELL MCDONALD",
            "city": "KELLY USA",
            "state": "TX",
            "postal_code": "78241",
            "telephone_number": "210-925-0321",
            "fax_number": "210-925-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 TRUEMPER",
            "address_2": "BLDG 6612",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782365550",
            "telephone_number": "210-671-9654",
            "fax_number": "210-671-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "KEVIN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "M2196",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "M2196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Vogelgesang, PHARMD
• Brooke Mary Wallace, LCSW, BCD
• Stephen Glenn Waller, MD
• Claudine Wega
• Nokomie Welsh, PHARMD
• Shaun Christopher White, PHARM.D.
• Darinda Lee Whitefield, IDMT
• Wilford Hall Medical Center
• Wilford Hall Medical Center
• Wilford Hall Medical Center

• Occupational Medicine Physician in Lackland a F B, TX
• Providers in Lackland a F B, TX by specialty
• Occupational Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.