Kenneth Spencer Bode in Fort Sam Houston - Orthopaedic Surgery Of The Spine
Kenneth Spencer Bode - NPI 1710100045
Kenneth Spencer Bode is a Orthopaedic Surgery Of The Spine in Fort Sam Houston, Texas. Kenneth Spencer Bode practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Kenneth Spencer Bode is 1710100045. The last update date is 2023-06-07.
Kenneth Spencer Bode's current location address is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2109165586 and fax number 2109165102. The mailing address for Kenneth Spencer Bode is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Spencer Bode |
|---|---|
| Address | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2109165586 |
| Fax Number | 2109165102 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710100045 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2023-06-07 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 2109165586 |
| Fax Number | 2109165102 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | A122470 |
|
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A122470 | CA | STATE LICENCE | |
| MD60635856 | WA | STATE | |
| U1474 | TX | STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth Spencer Bode by the Centers for Medicare & Medicaid Services?
The Kenneth Spencer Bode has been issued the NPI (National Provider Identifier) 1710100045. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenneth Spencer Bode is geographically located?
The Kenneth Spencer Bode is physically situated at the following location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 782344504.
What is Kenneth Spencer Bode's area of expertise and its corresponding taxonomy classification?
The Kenneth Spencer Bode's field of specialization is Orthopaedic Surgery Of The Spine, and it falls under the taxonomy code 207Xs0117X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1710100045 to Kenneth Spencer Bode?
The Kenneth Spencer Bode received its 1710100045 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the Kenneth Spencer Bode's details last updated?
The information pertaining to the Kenneth Spencer Bode, including its address, specialty, and other details, was most recently updated on 2023-06-07.
NPI Number: 1407858566
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