Active NPI
Bruce David Kennedy, M.D.
- Anesthesiology Physician
- Seguin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- K2049
- Practice address
- 1215 E Court St
Seguin, TX 78155-5129 - Phone
- (830) 379-5867
- Fax
- (830) 401-4035
- NPI assigned
- Nov 22, 2005
- Last updated
- Nov 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K2049 | TX | Primary |
Addresses
Primary practice location
1215 E Court St
Seguin, TX 78155-5129
Mailing address
1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-5867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1061608-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Texas Tech University Health Science Center School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-5867
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Seguin PLLC | Anesthesiology | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Alamo Anesthesia, PLLC | Anesthesiology | Past | Accepting new patients |
Locations
499 10th St
Floresville, TX 78114
Phone (830) 216-7096
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000
4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551
4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555
1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Seguin, TX
- NPI 1265458673
-
- Anesthesiology Physician
- League City, TX
- NPI 1659383305
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1659027910
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Anesthesiology
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1831402015
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guadalupe Regional Medical Center Cardiology
- Nursing Care Agency
- Seguin, TX
- NPI 1487674727
Hospital
-
dba Guadalupe Regional Medical Center
- General Acute Care Hospital
- Seguin, TX
- NPI 1720088123
-
dba Guadalupe Regional Medical Laurel
- General Acute Care Hospital
- Seguin, TX
- NPI 1780529966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1386627461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 E COURT ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555129",
"telephone_number": "830-379-5867",
"fax_number": "830-401-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E COURT ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555129",
"telephone_number": "830-379-5867",
"fax_number": "830-401-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "BRUCE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K2049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1061608-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.