Kyle Anderson, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

BSW Medical Center-Temple 2401 South 31St Street
Ms-CK-300 Attn: Pediatric Residency
Temple, TX 76508

Phone

(547) 245-4372

NPI assigned

Mar 26, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1689424186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BSW MEDICAL CENTER-TEMPLE, 2401 SOUTH 31ST STREET",
            "address_2": "MS-CK-300 ATTN: PEDIATRIC RESIDENCY",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BSW MEDICAL CENTER-TEMPLE 2401 SOUTH 31ST STREET",
            "address_2": "MS-CK-300 ATTN: PEDIATRIC RESIDENCY",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76508",
            "telephone_number": "547-245-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Anderson
• Braxton Fisher Anderson, M.D.
• Douglas Anderson, MD
• Joseph Anderson
• Katherine Aurelia Anderson, M.D.
• Richard Grey Anderson III, DO
• Robert Leonard Anderson, MD
• Shawn Anderson
• Tristan Anderson, DNP, CRNA
• Priscilla Anderton

• Student in an Organized Health Care Education/Training Program in Temple, TX
• Providers in Temple, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.