1. Home
  2. Directory
  3. Wisconsin
  4. Madison
  5. Physician Assistant
  6. NPI Profile

BERNARD V KENNEDY PA-C
NPI 1629051446
Physician Assistant in Madison, WI

Active since November 25, 2005
700 S PARK ST, DEAN MEDICAL CENTER, MADISON, WI 53715(608) 258-6975(608) 258-5222 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bernard V Kennedy Pa-c NPPES

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

BERNARD V KENNEDY PA-C (NPI 1629051446) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (543) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1629051446
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBERNARD V KENNEDYCredential: PA-C
Location Address700 S PARK ST, DEAN MEDICAL CENTERMadison, WI 53715-1830
Mailing Address700 S Park St, Dean Medical CenterMadison, WI 53715-1830 · (608) 258-6975 · Fax (608) 258-5222
Phone(608) 258-6975
Fax(608) 258-5222
Sole ProprietorNo
Enumeration DateNovember 25, 2005
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1629051446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 543
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 543-023 (WI)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 543-023 (WI)
700 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Other Identifiers 1

Medicaid1629051446WI

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER DO
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JEREMI THOMAS OLSON PA-C
Physician Assistant (Surgical)
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
TIMOTHY J MORTON PA-C
Physician Assistant
700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 251-6100
STEPHEN H VANDER SLUIS
Anesthesiology
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
BENJAMIN KLEIBER M.D.
Internal Medicine (Cardiovascular Disease)
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
ERIN M MULLAN-TOWNS PA-C
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 260-2900
CONNIE SUE MCCULLICK APNP
Nurse Practitioner
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JUSTIN ALLEN LEHRKE CRNA
Nurse Anesthetist, Certified Registered
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100

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 Bernard Kennedy's NPI number?

The NPI number for Bernard Kennedy is 1629051446. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Bernard Kennedy located?

Bernard Kennedy practices at 700 S Park St Dean Medical Center, Madison, WI 53715. The listed phone number is (608) 258-6975.

What is Bernard Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Bernard Kennedy was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.