Active NPI
Kenneth R Close, MD
- Diagnostic Radiology Physician
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- L3942
- Practice address
- 2722 Osler Blvd
Bryan, TX 77802-2517 - Phone
- (979) 776-8291
- Fax
- (979) 774-7871
- NPI assigned
- Apr 6, 2006
- Last updated
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | L3942 | TX | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME171890 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | L3942 | TX |
Addresses
Primary practice location
2722 Osler Blvd
Bryan, TX 77802-2517
Mailing address
2722 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-8291
Other practice location 1
2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565
Other practice location 2
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161640102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL, ND, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
College Station, TX 77845
Phone (469) 677-7430
1101 Woodson Dr
Caldwell, TX 77836-1052
Phone (979) 567-2217
1303 Mission Hills Dr
College Station, TX 77845-3860
Phone (469) 677-7430
2700 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-8291
2722 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-8291
2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-5931
3131 University E Dr
Bryan, TX 77802-3473
Phone (979) 731-3138
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME171890 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Express | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Wetumpka Urgent Care LLC | Current | Accepting new patients | |
| Enterprise Urgent Care | Current | Accepting new patients | |
| Sanford Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Prime Healthcare Services-Gadsden Physician Management LLC | Current | Accepting new patients | |
| Chilton Family Care, LLC | Current | Accepting new patients | |
| ER Physician Group at Jackson Hospital | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| River Region Family Medicine, LLC | Current | Accepting new patients | |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Ivy Creek Family Care of Lake Martin | Current | Accepting new patients | |
| Coaxion PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Peterson Medical Associates | Current | Accepting new patients | |
| Bryan Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| Global Imaging Specialists, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Bryan Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620
4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851
6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027
600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200
1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222
4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222
277 Huntress St
Ste 100
Wetumpka, AL 36092
Phone (334) 567-3309
41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309
500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
4820 23rd Ave S
Fargo, ND 58104
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531
2700 Osler Blvd
Bryan, TX 77802
2722 Osler Blvd
Bryan, TX 77802
Phone (409) 776-8291
215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528
575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090
575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237
1602 Avenue Q
Lubbock, TX 79401
Phone (469) 312-5137
Interoperability endpoints
- hmhkclose@yourcarecommunity.org
- https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4
Organizations & group practices 22
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Bryan, TX
- NPI 1992731178
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1629805221
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1598260515
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
-
dba Sanford Virtual Health Services
- Diagnostic Radiology Physician
- Fargo, ND
- NPI 1306641345
TX
-
- Family Medicine Physician
- Clanton, AL
- NPI 1366857674
-
dba Ivy Creek Family Care of Enterprise
- Urgent Care Clinic/Center
- Enterprise, AL
- NPI 1285180729
-
dba Ivy Creek Urgent Care
- Urgent Care Clinic/Center
- Dadeville, AL
- NPI 1609572890
-
dba Ivy Creek Family Care of Tallassee
- Rural Health Clinic/Center
- Tallassee, AL
- NPI 1558868323
-
- Family Medicine Physician
- Millbrook, AL
- NPI 1043362734
-
- Family Medicine Physician
- Gadsden, AL
- NPI 1356731467
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Conroe, TX
- NPI 1093955296
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1114340080
-
dba The Physicians Pain and Spine Centre
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
-
- Rural Acute Care Hospital
- Columbus, TX
- NPI 1740238641
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1942294939
-
dba CHI St. Joseph Health College Station Hospital
- General Acute Care Hospital
- College Station, TX
- NPI 1053963009
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1295798825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 OSLER BLVD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022517",
"telephone_number": "979-776-8291",
"fax_number": "979-774-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 OSLER BLVD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022517",
"telephone_number": "979-776-8291",
"fax_number": "979-774-7871"
}
],
"practiceLocations": [
{
"address_1": "2101 Pease St",
"address_purpose": "LOCATION",
"city": "Harlingen",
"state": "TX",
"postal_code": "785508307",
"country_code": "US",
"telephone_number": "956-389-6565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4250 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Marianna",
"state": "FL",
"postal_code": "324461917",
"country_code": "US",
"telephone_number": "850-526-2200",
"fax_number": "850-718-2844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOSE",
"first_name": "KENNETH",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "L3942",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME171890",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "L3942",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161640102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
- Joan Marie Clark, L.P.C.
- Katie Louise Clark, RN
- Brenda Kay Clarke, FNP-C
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- Clinical Neuroscience Services PLLC (TBSI - Neurosurgery)
- Cory Lamoine Cobb, PHD
- Jeffrey D Cochran Jr., M.D.
- Mark Robert Coffman, MD
- Allison Morgan Coil, CRNA
- Fernando Jose Colato Zavaleta
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.