KENNETH G. BOGNER
NPI 1598090490
Military Health Care Provider - Independent Duty Medical Technicians in San Antonio, TX

Active since October 09, 2009
5425 MCWILLIAMS, SAN ANTONIO, TX 78257(210) 295-8336 Get Directions Write a Review

NPPES record last updated: October 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth G. Bogner NPPES

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

KENNETH G. BOGNER (NPI 1598090490) is an individual independent duty medical technicians provider in San Antonio, Texas and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1598090490
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameKENNETH G. BOGNER
Location Address5425 MCWILLIAMSSan Antonio, TX 78257
Mailing Address5425 McwilliamsSan Antonio, TX 78257 · (210) 295-8336
Sole ProprietorNo
Enumeration DateOctober 9, 2009
NPI 1598090490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
5425 MCWILLIAMS, San Antonio, TX 78257

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 Bogner's NPI number?

The NPI number for Kenneth Bogner is 1598090490. It was assigned to this individual provider in the NPPES registry on October 9, 2009.

Where is Kenneth Bogner located?

Kenneth Bogner practices at 5425 Mcwilliams, San Antonio, TX 78257. The listed phone number is (210) 295-8336.

What is Kenneth Bogner's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Kenneth Bogner was last updated on October 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.