Individual provider · Type 1 NPI

Kenneth John Bogenberger, MD

Vascular Surgery Physician · Fort Sam Houston, TX

NPI number 1942659016 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Other practice locations

  • 603 E Amber St Ste 101, San Antonio, TX 78221-2456 · (210) 610-7283

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129XA176442 (CA)
Vascular Surgery Physician Primary 2086S0129XV6877 (TX)
Military Health Care Provider 171000000XNone listed
Surgery Physician 208600000XMD19764 (HI)

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

2,432 other providers at this address

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About NPI 1942659016

Kenneth John Bogenberger, MD's National Provider Identifier is 1942659016, issued on Jun 8, 2016. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Oct 28, 2025.