KENNETH TERRY BACON MD
NPI 1205813052
Radiology - Diagnostic Radiology in Austin, TX

Active since December 22, 2005
8038 MESA DR, AUSTIN, TX 78731(512) 901-8748 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Terry Bacon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH TERRY BACON MD (NPI 1205813052) is an individual diagnostic radiology provider in Austin, Texas, licensed in Texas (D5902) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1205813052
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKENNETH TERRY BACONCredential: MD
Location Address8038 MESA DRAustin, TX 78731-1319
Mailing Address12221 Mopac Expressway NorthAustin, TX 78758-2483 · (512) 901-8748 · Fax (512) 901-8755
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateMarch 4, 2008
NPI 1205813052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · D5902
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
8038 MESA DR, Austin, TX 78731

Other Identifiers 3

Medicare PIN82R046TX
Medicare UPIND47879TX
Medicare PINP00433569TX

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
8038 MESA DR
AUSTIN, TX 78731
Radiology (Diagnostic Radiology)
8038 MESA DR
AUSTIN, TX 78731
Nuclear Medicine
8038 MESA DR
AUSTIN, TX 78731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Bacon's NPI number?

The NPI number for Kenneth Bacon is 1205813052. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Kenneth Bacon located?

Kenneth Bacon practices at 8038 Mesa Dr, Austin, TX 78731. The listed phone number is (512) 901-8748.

What is Kenneth Bacon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kenneth Bacon was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.