KENNETH R CLOSE (NPI# 1295798825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295798825 |
| Entity Type | Individual |
| Full Name | KENNETH R CLOSE |
| Credential | MD |
| Practice Address |
2722 Osler Blvd Bryan TX 77802-2517 |
| Practice Telephone | 9797768291 |
| Practice Fax Number | 9797747871 |
| Mailing Telephone | 9797768291 |
| Mailing Fax Number | 9797747871 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
L3942 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2722 OSLER BLVD |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790747921 | Mir Z Alikhan | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2006-04-04 |
| 1457651341 | Bryan Radiology Associates | Radiologic Technologist | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2010-10-26 |
| 1598971913 | Jason Pulnik | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2007-05-15 |
| 1215055744 | Scy Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2007-03-26 |
| 1841210564 | Eric Alan Appelt | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2006-07-19 |
| 1407883325 | Pulin P Patel | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2006-06-27 |
| 1992731178 | Bryan Radiology Associates | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2006-06-23 |
| 1457313074 | Charles B Thomason | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2006-04-06 |
| 1760444384 | Andrew G Whitmire | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2006-04-06 |
| 1922060664 | James M Campbell | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2006-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
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| 1467085795 | Interventional Partners LLC | Radiology | 400 W Arbrook Blvd Ste 320, Arlington, TX 76014-3180 | 2020-02-14 |
| 1447883772 | Interventional Partners LLC | Radiology | 3400 Interstate Highway 30 Ste 180, Mesquite, TX 75150-2601 | 2020-02-14 |
| 1649811571 | Amh Ir LLC | Radiology | 4425 Bluestem St, Flower Mound, TX 75028-1123 | 2019-10-02 |
| 1497300081 | Minimally Invasive Surgical Pllc | Radiology | 4532 N Mesa St Ste B2, El Paso, TX 79912-6286 | 2019-08-09 |
| 1922666189 | Interventional Partners, LLC | Radiology | 251 W Medical Center Blvd Ste 200, Webster, TX 77598-4242 | 2019-06-03 |
| 1922563410 | Virtx LLC | Radiology | 13284 Bigelow Ln, Frisco, TX 75035-0782 | 2019-02-08 |
| 1831688779 | Humble Interventional Partners Md Pa | Radiology | 8411 Fm 1960 Bypass Rd W, Humble, TX 77338-4013 | 2018-05-07 |
| 1386163780 | Sunrise Vascular Pllc | Radiology | 2715 Boca Chica Blvd Ste 3, Brownsville, TX 78521-3676 | 2017-09-18 |
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| 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.