DR. KENNETH JOHN BOGENBERGER MD
NPI 1942659016
Surgery - Vascular Surgery in Fort Sam Houston, TX

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 580-6586 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, Aug 19, 2024, Feb 22, 2022 and 2 more (5 updates tracked since 2019).

About Dr. Kenneth John Bogenberger Md NPPES

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

DR. KENNETH JOHN BOGENBERGER MD (NPI 1942659016) is an individual vascular surgery provider in Fort Sam Houston, Texas, licensed in Texas (V6877) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1942659016
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. KENNETH JOHN BOGENBERGERCredential: MD
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (818) 669-0403
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 8, 2016
Last NPPES UpdateOctober 28, 20255 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
NPI 1942659016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in TX · V6877 Licensed in CA · A176442
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedSurgeryTaxonomy 208600000X · License MD19764 (HI)
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Secondary Practice Location 1

Location 1603 E Amber St Ste 101San Antonio, TX 78221-2456 · Phone (210) 610-7283 · Fax (210) 812-5938

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth John Bogenberger Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032591250
PECOS Enrollment IDI20251112002551
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
3551 ROGER BROOKE DR, DEPARTMENT OF PEDIATRICS/ADOLESCENT MEDICINE
FORT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Cardiology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Pediatrics (Neonatal-Perinatal Medicine)
3551 ROGER BROOKE DR, NEONATOLOGY
FORT SAM HOUSTON, TX 78234
Nurse Practitioner (Primary Care)
3551 ROGER BROOKE DR, DEPARTMENT OF PEDIATRICS/ADOLESCENT MEDICINE
FORT SAM HOUSTON, TX 78234
Student in an Organized Health Care Education/Training Program
3551 ROGER BROOKE DR, MCHE/ME
FORT SAM HOUSTON, TX 78234
Student in an Organized Health Care Education/Training Program
3551 ROGER BROOKE DR, MCHE-QD(CREDS)
FORT SAM HOUSTON, TX 78234
Occupational Therapist
3551 ROGER BROOKE DR, MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234
Internal Medicine (Infectious Disease)
3551 ROGER BROOKE DR, MCHE-QD, BLDG 3600
FORT SAM HOUSTON, TX 78234

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 Bogenberger's NPI number?

The NPI number for Kenneth Bogenberger is 1942659016. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Kenneth Bogenberger located?

Kenneth Bogenberger practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 580-6586.

What is Kenneth Bogenberger's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Kenneth Bogenberger enrolled in Medicare?

Yes. Kenneth Bogenberger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kenneth Bogenberger affiliated with any hospitals?

According to CMS data, Kenneth Bogenberger is affiliated with Baptist Medical Center, Ascension Seton Williamson and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Kenneth Bogenberger was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.