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

Kenneth Spencer Bode, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1710100045

Kenneth Spencer Bode, MD is an Orthopedic Surgery in Fort Worth, Texas. Qualified in 2003, 23 years ago. Practices with Green Oaks Physical Therapy Limited Partnership, a 182-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Texas and Washington.

Years since qualifying
23
Licensed in
CA, TX, WA
In the registry since
2007
Specialties on file
4
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

6301 Harris Pkwy Ste 200
Fort Worth, TX 76132-4265
Phone: (817) 433-3450
Show map & directions

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

Additional practice locations (2)

  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 — (210) 916-5586
  • 3619 Paesanos Pkwy Ste 302, San Antonio, TX 78231-1259 — (210) 802-4662

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence U1474 (TX)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence A122470 (CA)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence MD60635856 (WA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence U1474 (TX)

Record details

NPI number1710100045
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Green Oaks Physical Therapy Limited Partnership — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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