Kenneth D Wilgers M.D. PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KENNETH D WILGERS M.D. PA

Practice address

3129 College St
Suite 200
Beaumont, TX 77701-4660

Phone

(409) 832-8600

Fax

(409) 832-8601

NPI assigned

Oct 19, 2007

Last updated

Oct 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth D Wilgers, M.D.NPI 1275506206

Title

Family Practitioner

Phone

(409) 832-8600

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth D. Wilgers, M.D.

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1275506206
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Ann Evans, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1700187341
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1689863169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 COLLEGE ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014660",
            "telephone_number": "409-832-8600",
            "fax_number": "409-832-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 COLLEGE ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014660",
            "telephone_number": "409-832-8600",
            "fax_number": "409-832-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D WILGERS M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "WILGERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FAMILY PRACTITIONER",
        "authorized_official_telephone_number": "409-832-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "TX",
            "license": "H11697",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan P Kelley, FNP-C
• Brandi Kelly, LPC
• Madeline Frazier Kelly, PHARM D
• Suewako F Kelly
• Aaliyah Kendrick
• Kensley Enterprises, Inc. (Inspirational Health Care, Inc)
• Sedrick Kepnia
• Matthew C Kergosien, MD
• Michael Lee Kessler, M.D.
• Kevin R Waddell MD PA

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, 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 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.