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DR. KEVIN BUFORD MD
NPI 1821188905
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Bernardino, CA

Active since October 13, 2006PECOS Enrolled
1396 N WATERMAN AVE, SAN BERNARDINO, CA 92404(314) 590-8350 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2026, Mar 8, 2024, Aug 22, 2023 and 1 more (4 updates tracked since 2022).

About Dr. Kevin Buford Md NPPES

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

DR. KEVIN BUFORD MD (NPI 1821188905) is an individual child & adolescent psychiatry provider in San Bernardino, California, licensed in Georgia (052899) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Morehouse School Of Medicine (1996).

NPPES Registry Identity

NPI1821188905
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KEVIN BUFORDCredential: MD
Location Address1396 N WATERMAN AVESan Bernardino, CA 92404-5313
Mailing AddressLandstuhl Regional Medical Center, Unit 33100Apo, AE 09180-3100 · (314) 590-8350
Phone(314) 590-8350
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 1996
Enumeration DateOctober 13, 2006
Last NPPES UpdateMarch 4, 20264 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1821188905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in GA · 052899✔ Licensed in GA · 52899
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 052899 (GA)
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License C202394 (CA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD-17658 (HI)
1396 N WATERMAN AVE, San Bernardino, CA 92404
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Landstuhl Regional Medical Center, Unit 33100APO, AE 09180-3100 · Phone (314) 590-8530
Location 298-1247 Kaahumanu StAiea, HI 96701-5311 · Phone (832) 604-3771

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Buford Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931415247
PECOS Enrollment IDI20260213003664
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Buford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Magnolia Management LLC
1,304 mi
Psychiatric/Mental Health
22325 GOSLING RD
Spring, TX 77389
  • Reassigned Medicare billing, Texas enrollment
  • 35 clinicians in this Medicare group
NPI 1346866845 (281) 724-7980

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

COMPREHENSIVE BEHAVIORAL HEALTH CARE, INC.
Family Medicine (Addiction Medicine)
1396 N WATERMAN AVE, SUITE #110
SAN BERNARDINO, CA 92404
San Bernardino County (800) 678-3127
YESSAR TAKRURI M.D.
Internal Medicine (Cardiovascular Disease)
1396 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 754-8487
WATERMAN HEALTH INC
General Practice
1396 N WATERMAN AVE, 109
SAN BERNARDINO, CA 92404
San Bernardino County (909) 885-2464

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 Kevin Buford's NPI number?

The NPI number for Kevin Buford is 1821188905. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Kevin Buford located?

Kevin Buford practices at 1396 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (314) 590-8350.

What is Kevin Buford's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kevin Buford enrolled in Medicare?

Yes. Kevin Buford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Buford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Buford reassigns Medicare benefits to Southern Magnolia Management LLC (Spring, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Buford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Buford was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.