Kenneth J Buley, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J4012 Issued in TX

Practice address

6551 Harris Pkwy
Suite 110
Fort Worth, TX 76132-6105

Phone

(817) 370-8833

Fax

(817) 370-8852

NPI assigned

Mar 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

University of Texas Medical School at San Antonio, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Physiatry Group LLCGroup PAC ID 1759353519, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
• Rehabilitation Institute of South San Antonio Inpatient rehabilitation facility, San Antonio, TX, CCN 743025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Physiatry Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
  • NPI 1316078769
  Medicare reassignment Care Compare group NPD
• Kenneth James Buley MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1912968207
  NPD Authorized official
• Gary D Gottfried MD PA

  • Physical Medicine & Rehabilitation Physician
  • Burleson, TX
  • NPI 1578594982
  NPD (past)
• Metroplex Medical Rehabilitation & Sports Medicine PA

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1194776872
  NPD (past)

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

• CRH of San Antonio, LLC

  • Rehabilitation Hospital
  • San Antonio, TX
  • NPI 1205567179

  Inpatient rehabilitation facility

  Care Compare affiliation
• VHS San Antonio Partners LLC

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1497714026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164009",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761614009",
            "telephone_number": "817-370-8833",
            "fax_number": "817-370-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 HARRIS PKWY",
            "address_2": "SUITE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326105",
            "telephone_number": "817-370-8833",
            "fax_number": "817-370-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULEY",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J4012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0093DH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113742404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuan Anh Bui
• Bertram Z Buie, O.D.
• James Scott Buie, M.D.
• Djurdja Bukarica, PHARM.D
• Syed Muhammad Ali Imran Bukhari, MD
• Amanda D Bull, CRNA
• Jennifer E Bullard, MA, LPC
• John W Bullard, RPH
• Madalyn Alliene Paige Bullard
• Leisha Buller, ACNP

• Physical Medicine & Rehabilitation Physician in Fort Worth, TX
• Providers in Fort Worth, 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 Jul 25, 2012; 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.

Verify at the official NPI Registry.