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

Kourt Bacon, DO

Individual provider Anesthesiology Physician · NPI 1710449012

Kourt Bacon, DO is an Anesthesiology in Tripler Army Medical Center, Hawaii. Qualified in 2019, 7 years ago. Practices with Kauai Medical Clinic, a 150-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone: (971) 732-3174
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0102206358 (VA)

Record details

NPI number1710449012
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kauai Medical Clinic — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tripler Army Medical Center