Kenneth James Buley MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

KENNETH JAMES BULEY MD

Practice address

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

Phone

(817) 370-8833

Fax

(817) 370-8852

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth James Buley, MDNPI 1497714026

Title

Owner

Phone

(817) 370-8833

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth J Buley, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1497714026
  NPD Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1912968207",
    "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": "76161",
            "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 PARKWAY",
            "address_2": "SUITE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326105",
            "telephone_number": "817-370-8833",
            "fax_number": "817-370-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH JAMES BULEY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "BULEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-370-8833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179438001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0093DH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leekelli Kennedy, RD LD
• Paul A Kennedy III, MD
• Shane W Kennedy, MD
• Siobhan Kennedy
• Kirsten Renee Kennemer, AU.D.
• Kenneth Ray Ruelas Jr
• Kenneth Wayne Morris
• Ashley Kenney
• Kylie Kennington
• Kimberly Isabella Kennon, OTD, OTR/L

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.