P Praxis·MD
● Active Type 1 · Individual

DR. Bobby Joe Kennedy, DO

Dermatology·Austin, TX· NPI 1487766937 · Enumerated 2006 · 19 years on NPI
Kennedy is 1 of 127 dermatology providers in Austin and 1 of 1632 in Texas.
NPI age
19 years
Enumerated 2006-08-31
Primary specialty
Dermatology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-03-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1632 active dermatology providers in Texas.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
6811 Austin Center Blvd, #300
Austin, TX 787313146
📞 5123468888fax 5123440312
Mailing address
Po Box 26726
Austin, TX 787550726
📞 5124078686fax 5124066216

Specialties

  • Dermatology Primary
    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...
    TX license #E6115 taxonomy 207N00000X

Identifiers

TypeValueNotes
05 (TX) 097806603
05 (TX) 097806604
01 (TX) CZ49 BCBS
05 (TX) CZ49

Practice context

Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new dermatology providers have been added in Austin in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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