Individual provider Active NPI

Kenneth R Close, MD

  • Diagnostic Radiology Physician
  • Bryan, TX
National Provider Identifier
1295798825
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L3942 Issued in TX
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
161640102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, ND, AL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050411000984 TX Practitioner - Diagnostic Radiology 6507803632 Reassigns benefits to 5 organizations
I20250228000518 FL Practitioner - Diagnostic Radiology 6507803632 Reassigns benefits to 1 organization
I20250916004799 ND Practitioner - Diagnostic Radiology 6507803632 Reassigns benefits to 2 organizations
I20251005000275 AL Practitioner - Diagnostic Radiology 6507803632 Reassigns benefits to 8 organizations

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
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians
Bryan Radiology AssociatesGroup PAC ID 4880598143, 10 clinicians
Coaxion PLLCGroup PAC ID 3779099643, 31 clinicians
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

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

LicenseStateTypeSpecialty
ME171890FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Express CurrentSince Dec 27, 2025 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Dec 27, 2025 Accepting new patients
Enterprise Urgent Care CurrentSince Nov 28, 2025 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Aug 14, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 5, 2025 Accepting new patients
Prime Healthcare Services-Gadsden Physician Management LLC CurrentSince Aug 1, 2025 Accepting new patients
Chilton Family Care, LLC CurrentSince Dec 24, 2025 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Feb 15, 2025 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Dec 27, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 5, 2025 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Dec 27, 2025 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
River Region Family Medicine, LLC CurrentSince Dec 28, 2025 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Oct 15, 2024 Accepting new patients
Ivy Creek Family Care of Lake Martin CurrentSince Dec 27, 2025 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince May 25, 2025 Accepting new patients
Peterson Medical Associates CurrentSince Feb 1, 2025 Accepting new patients
Bryan Radiology Associates Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Global Imaging Specialists, LLC Diagnostic Radiology Past Accepting new patients
Bryan Radiology Associates Diagnostic Radiology PastSince Jun 16, 2024 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

  • Direct secure messaging: hmhkclose@yourcarecommunity.org
  • FHIR API: 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.

View all 22

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.