NPI age
4 years
Enumerated 2022-02-15
● Active
Type 1 · Individual
DR. Charles William Kennedy IV, MD
Kennedy is 1 of 161 general practice providers in Jbsa Ft Sam Houston and 1 of 2087 in Texas.
Primary specialty
General Practice
Licensed in
VA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-01-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2087 active general practice providers in Texas.
NPI age
4 years
↓ 6 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-02Enumerated in NPPES
2022
2026
Where they practice
Practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
Mailing address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Part of a multi-provider practice. 623 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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.