Kenny Nguyen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME99405 Issued in FL

Practice address

500 E Central Ave
Winter Haven, FL 33880-3053

Phone

(863) 293-1191

NPI assigned

May 3, 2007

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 FL

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

Pediatric Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventhealth Bond Clinic, Inc.Group PAC ID 2264931294, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenny.nguyen.p1@direct.bondclinicpa.nextgenshare.com

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.

• Adventhealth Bond Clinic, Inc.

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1558150755
  Medicare reassignment Care Compare group NPD
• Bond Clinic PA

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1881639193

  Pediatrics

  Medicare reassignment NPD
• Adventhealth Bond Clinic, Inc.

  dba AdventHealth Bond Clinic

  • Prosthetic/Orthotic Supplier
  • Winter Haven, FL
  • NPI 1053294678
  NPD
• Bond Clinic PA

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1992565766

  Pediatrics

  NPD
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1659583854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814111",
            "telephone_number": "863-293-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803053",
            "telephone_number": "863-293-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KENNY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME99405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279152800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newbold Prosthetics, LLC
• Cheryl Lynn Newby
• Christine Newelski, OTR
• Tashanna Newman
• An Nguyen
• Nguyen Phuong Linh Helen Nguyen, PTA
• Quynh Tram Nhu Nguyen, D.P.M.
• Darfrente Tuason Nibungco Jr., M.D.
• Nic 5 Spring Haven Leasing LLC (Spring Haven Retirement Community)
• Mary Katherine Teisinger Nicholson, A.P., D.O.M.

• Pediatrics Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.