DR. KENYA SHORT (NPI# 1053300178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053300178 |
| Entity Type | Individual |
| Full Name | DR. KENYA SHORT |
| Other Name | DR. KENYA BROOKS |
| Credential | M.D. |
| Practice Address |
3851 Roger Brooke Dr. Brooke Army Medical Center, Camp Bullis Usahc Fort Sam Houston TX 78234 |
| Practice Telephone | 2102958074 |
| Mailing Telephone | 2102958074 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01054727A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3851 ROGER BROOKE DR. BROOKE ARMY MEDICAL CENTER, CAMP BULLIS USAHC |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982909024 | Allan Boudreaux | Clinical Nurse Specialist | 3851 Roger Brooke Dr., Mche-qd (creds), Brooke Army Medical Center, Fort Sam Houston, TX 78234-6200 | 2011-01-21 |
| 1194031583 | Bamc | Military Hospital | 3851 Roger Brooke Dr., Bamc-mcheqd (creds), Fort Sam Houston, TX 78218-6200 | 2010-08-24 |
| 1356582696 | Emily Marie Mcginty | Occupational Therapist | 3851 Roger Brooke Dr., Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2009-03-17 |
| 1891895447 | Theresa Howell Williams | Psychiatry & Neurology | 3851 Roger Brooke Dr., Brooke Army Medical Center Department of Behavioral Med, Fort Sam Houston, TX 78234-6200 | 2006-09-24 |
| 1336124544 | Alice Inman | Psychologist | 3851 Roger Brooke Dr., Jbsa, Fort Sam Houston, TX 78234-6200 | 2005-12-09 |
| 1760472583 | Robert Edward Boyles | Military Health Care Provider | 3851 Roger Brooke Dr., Brooke Army Medical Center, Mche-qd/credentials, Fort Sam Houston, TX 78234-6200 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801030564 | Travis Charles Russell | Family Medicine | 3630 Stanley Rd, Fort Sam Houston, TX 78234-7697 | 2009-04-25 |
| 1366528242 | Steven Len Scheppler | Family Medicine | 3100 Schofield Rd Fl 2, Fort Sam Houston, TX 78234-7577 | 2006-10-31 |
| 1437119716 | Gunnar F. Kosek | Family Medicine | 3100 Schofield Rd Bldg 1179, Fort Sam Houston, TX 78234-7577 | 2006-03-23 |
| 1922082106 | Tess J Bobo | Family Medicine | 2991 Garden Ave, Bldg 1279, Fort Sam Houston, TX 78234-7598 | 2005-12-01 |
| 1770578007 | Markham Jay Brown | Family Medicine | 3100 Schofield Rd, Fort Sam Houston, TX 78234-7577 | 2005-09-13 |
| 1326691114 | Malina Jessica Regalado | Family Medicine | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-07-20 |
| 1639527443 | David Riegleman | Family Medicine | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2016-06-02 |
| 1881034346 | Cameron Michael Shawver | Family Medicine | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2013-06-28 |
| 1306140793 | Jae H Shim | Family Medicine | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2010-12-29 |
| 1295912558 | Nathan Erik Mcwhorter | Family Medicine | 3551 Roger Brooke Dr, Radiology- Brooke Army Medical Center, Fort Sam Houston, TX 78234-4504 | 2008-01-29 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on DR. KENYA SHORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.