DR. KENNETH D CUSHMAN MD
NPI 1275506016
Family Medicine in Tyler, TX

Active since February 10, 2006
520 EAST DOUGLAS BLVD, TYLER, TX 75702(903) 593-1721 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth D Cushman Md NPPES

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

DR. KENNETH D CUSHMAN MD (NPI 1275506016) is an individual family medicine provider in Tyler, Texas, licensed in Texas (E9483) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1275506016
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH D CUSHMANCredential: MD
Location Address520 EAST DOUGLAS BLVDTyler, TX 75702
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateOctober 13, 2014
NPI 1275506016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · E9483
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
520 EAST DOUGLAS BLVD, Tyler, TX 75702

Other Identifiers 9

Other080078392TX · Medicare Railroad
Medicare ID-Type Unspecified83Y750TX
Medicare PIN080078392TX
Other123043TX · Chips
Medicaid129526304TX
Other752616977048TX · Tricare Champus
Other4540308TX · Aetna
OtherCU083Y750TX · Bcbs
Medicare UPINB22079

Accepted Insurance

Other Providers at the Same Location NPPES

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

Family Medicine
520 EAST DOUGLAS BLVD
TYLER, TX 75702

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 Cushman's NPI number?

The NPI number for Kenneth Cushman is 1275506016. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Kenneth Cushman located?

Kenneth Cushman practices at 520 East Douglas Blvd, Tyler, TX 75702. The listed phone number is (903) 593-1721.

What is Kenneth Cushman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Kenneth Cushman accept?

Health plans from Blue Cross and Blue Shield of Texas list Kenneth Cushman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Cushman was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.