KENNETH WILSON BACKSTRAND MD NPI 1114915477

NPI Information

  • NPI: 1114915477
  • Provider Name: KENNETH WILSON BACKSTRAND, MD
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2721 DEL PRADO BLVD S
    CAPE CORAL, FL
    ZIP 33904
  • Phone: (239) 242-8010

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NPI Details

Kenneth Wilson Backstrand, MD is a pain medicine anesthesiology in Cape Coral, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Kenneth Wilson Backstrand, MD NPI is 1114915477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2721 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33904-781
Phone: (239) 242-8010
Fax: (239) 242-8020

The NPI 1114915477 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 3/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyME0050622FLORIDANo
2207LP2900XAnesthesiologyPain MedicineME50622FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1046206300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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