Bruce S Kinney, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P6008 Issued in TX

Practice address

3107 W Camp Wisdom Rd Ste 170
Dallas, TX 75237-2643

Phone

(972) 942-7700

Fax

(972) 942-7701

NPI assigned

May 4, 2011

Last updated

Oct 11, 2019By the provider in NPPES

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 1

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

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruce.kinney@wellmed.eclinicaldirectplus.com

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.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group
• Wellmed Medical Group, P.a.

  dba WellMed Senior Clinic at Ben White

  • Family Medicine Physician
  • Austin, TX
  • NPI 1437457710
  NPD
• Ipc Pac Healthcare Services of Texas PLLC

  • Hospitalist Physician
  • Addison, TX
  • NPI 1194174201

  Family Medicine

  NPD (past)
• Castle Medical Center

  • Urgent Care Clinic/Center
  • Pearl City, HI
  • NPI 1598431348
  NPD (past)
• US Med Urgent Care

  dba Pearl City Urgent Care

  • Urgent Care Clinic/Center
  • Pearl City, HI
  • NPI 1073816245
  NPD (past)

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

• Methodist Hospitals of Dallas

  dba Methodist Charlton Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131
  Care Compare affiliation

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1619269099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 W CAMP WISDOM RD STE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372643",
            "telephone_number": "972-942-7700",
            "fax_number": "972-942-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 W CAMP WISDOM RD STE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372643",
            "telephone_number": "972-942-7700",
            "fax_number": "972-942-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "BRUCE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P6008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338946202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashton Nicole Kinkead, PA-C
• Kari Cristine Kinkead, CRNA
• Nedha Kinnare, MD
• Jennifer Kinnear, D.C.
• Lisa E Kinnear, PT
• Cheryl Cox Kinney, MD
• Delane Raye Kinney, PHD
• Powell McVay Kinney, MD
• Robert Kinney, PHD
• Wesley W Kinney, M.D.

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.