Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keenon White, MD

Individual provider Licensed Practical Nurse · NPI 1447428636

Keenon White, MD is a Family Practice in Bridgeville, Delaware. Qualified in 2017, 9 years ago. Practices with Tidalhealth Physician Network, Inc, a 114-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Delaware and New Jersey.

Years since qualifying
9
Licensed in
DE, NJ
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9111 Antique Aly Unit 1
Bridgeville, DE 19933-4682
Phone: (302) 337-9320
Fax: (302) 337-9640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Hobart St, Utica, NY 13501-4308 — (315) 798-1149

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C1-0012179 (DE)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 26NP05281400 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447428636
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 11, 2008
Last updated in NPPESJuly 21, 2022
Mailing address9111 Antique Aly Unit 1, Bridgeville, DE 19933-4682

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tidalhealth Physician Network, Inc. — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bridgeville