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

Kyle James Stevens, DO

Individual provider Diagnostic Radiology Physician · NPI 1033675830

Kyle James Stevens, DO is a Diagnostic Radiology in Jbsa Lackland, Texas. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2019, 7 years ago. Practices with Premier Radiology Wisconsin LLC, a 111-clinician group. Licensed in Illinois, New Jersey, Texas and Virginia.

Years since qualifying
7
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
IL, NJ, TX, VA
In the registry since
2019
Specialties on file
6
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.

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Practice location Address checks out

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone: (210) 228-6921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence V1274 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0102206445 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036176866 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA12352100 (NJ)
General Practice Physician Taxonomy 208D00000X · Licence 0102206445 (VA)

Record details

NPI number1033675830
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 16, 2019
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2019 (7 years in practice)
Group practice Premier Radiology Wisconsin Llc — 111 clinicians
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

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