KENNETH SPENCER BODE MD NPI 1710100045

NPI Information

  • NPI: 1710100045
  • Provider Name: KENNETH SPENCER BODE, MD
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6301 HARRIS PKWY STE 200
    FORT WORTH, TX
    ZIP 76132
  • Phone: (817) 433-3450

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NPI Details

Kenneth Spencer Bode, MD is an orthopaedic surgery of the spine orthopaedic surgery in Fort Worth, TX with 23 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Kenneth Spencer Bode, MD NPI is 1710100045. 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:

6301 HARRIS PKWY STE 200
FORT WORTH, TX
ZIP 76132-265
Phone: (817) 433-3450

The NPI 1710100045 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 4/11/2007 and was last updated on 5/29/2024.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineA122470CALIFORNIANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineMD60635856WASHINGTONNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineU1474TEXASYes
4207X00000XOrthopaedic SurgeryU1474TEXASNo

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
1U1474OTHERTEXASSTATE LICENSE
2MD60635856OTHERWASHINGTONSTATE
3A122470OTHERCALIFORNIASTATE LICENCE

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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