Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487766937 Individual Practitioner Male Practitioner

Dr. Bobby Joe Kennedy , DO

Dermatology • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Bobby Kennedy, DO is a registered healthcare professional specializing in Dermatology in Austin, TX. Practice services are available at 6811 AUSTIN CENTER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6811 Austin Center Blvd
#300

Austin, TX 787313146

Telephone 5123468888
Fax 5123440312
Associated Practice Facility / Clinic
🏢 Austin Regional Clinic, Pa Facility NPI 1659858454

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
101 Specialists

Practicing in Austin, TX (1210 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX E6115

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
097806603 (TX)
Medicaid State Provider ID
097806604 (TX)
Medicaid State Provider ID
CZ49 (TX)
Commercial Insurance / Payer ID Bcbs
CZ49 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1013929017

Doctor of Medicine (M.D.)

NPI 1043225105

Doctor of Podiatric Medicine

NPI 1053399477

Doctor of Medicine (M.D.)

Dr. Kent Jones , MD

Otolaryngology

NPI 1124034491

Doctor of Medicine (M.D.)

Dr. Kristen Hansen-Peterman , MD

Obstetrics & Gynecology

NPI 1134135486

Doctor of Medicine (M.D.)

NPI 1164438420

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2012

Registered at 6811 AUSTIN CENTER BLVD, #300, AUSTIN, TX 787313146 (Tel: 5123468888)

📍
Updated Business Mailing Address March 02, 2012

Registered at PO BOX 26726, AUSTIN, TX 787550726 (Tel: 5124078686)

👤
Provider Name / Credentials Updated March 02, 2012

Recorded as BOBBY KENNEDY, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2012

Dermatology (License #E6115 in TX)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487766937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: March 02, 2012
Sole Proprietor: No

Mailing Address

Po Box 26726

Austin, TX 787550726

Phone: 5124078686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.