P Praxis·MD
● Active Type 1 · Individual

Kenneth Spencer Bode, MD

Orthopaedic Surgery·Fort Worth, TX· NPI 1710100045 · Enumerated 2007 · 19 years on NPI
Bode is 1 of 18 orthopaedic surgery providers in Fort Worth and 1 of 358 in Texas.
NPI age
19 years
Enumerated 2007-04-11
Primary specialty
Orthopaedic Surgery
Plus 3 subspecialties
Licensed in
TX, CA, WA
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 358 active orthopaedic surgery providers in Texas.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
3 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 44% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
6301 Harris Pkwy Ste 200
Fort Worth, TX 761324265
📞 8174333450
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 2109165586fax 2109165102

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 2109165586fax 2109165102
Location 3
3619 Paesanos Pkwy Ste 302
San Antonio, TX 782311259
📞 2108024662

Specialties

  • Orthopaedic Surgery Primary
    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...
    TX license #U1474CA license #A122470WA license #MD60635856 taxonomy 207XS0117X
  • Orthopaedic Surgery
    An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
    TX license #U1474 taxonomy 207X00000X

Identifiers

TypeValueNotes
01 (TX) U1474 STATE LICENSE
01 (WA) MD60635856 STATE
01 (CA) A122470 STATE LICENCE
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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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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