Individual
BRADLEY JAMES KENESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 GATEWAY HILLS LN STE C, GRANBURY, TX 76049-7847
(682) 936-2544
Mailing address
100 GATEWAY HILLS LN STE C, GRANBURY, TX 76049-7847
(682) 936-2544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
N6899
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
N6899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219211401
—
TX
05
—
219211402
—
TX
01
—
8CQ572
BCBS
TX
01
—
8EH374
BCBS TX
TX
01
—
P00957426
RAILROAD
TX
Enumeration date
11/08/2010
Last updated
07/17/2025
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