NPI age
15 years
Enumerated 2011-05-07
● Active
Type 1 · Individual
Keith Pettibon, MD
Pettibon is 1 of 276 radiology providers in Fort Worth and 1 of 3776 in Texas.
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 3776 active radiology providers in Texas.
NPI age
15 years
↓ 4 yr below median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-05Enumerated in NPPES
2011
2026
Where they practice
Practice location
815 Pennsylvania Ave
Fort Worth, TX 76104
Mailing address
816 W Cannon St
Fort Worth, TX 761043146
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
RadiologyA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Practice context
Part of a multi-provider practice. 244 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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