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

Kenneth R Close, MD

Individual provider Diagnostic Radiology Physician · NPI 1295798825

Kenneth R Close, MD is a Diagnostic Radiology in Bryan, Texas. Qualified in 1999, 27 years ago. Practices with Sanford Clinic, a 273-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
27
Licensed in
FL, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2722 Osler Blvd
Bryan, TX 77802-2517
Phone: (979) 776-8291
Fax: (979) 774-7871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4250 Hospital Dr, Marianna, FL 32446-1917 — (850) 526-2200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence L3942 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME171890 (FL)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence L3942 (TX)

Record details

NPI number1295798825
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address2722 Osler Blvd, Bryan, TX 77802-2517

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Sanford Clinic — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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