DR. BRIAN PATRICK KELLER (NPI# 1093791816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093791816 |
Entity Type | Individual |
Full Name | DR. BRIAN PATRICK KELLER |
Credential | D.P.M |
Practice Address |
841 Sterling Pkwy Ste 130 Lincoln CA 95648-7324 |
Practice Telephone | 9164346410 |
Practice Fax Number | 9164346310 |
Mailing Telephone | 9164346410 |
Mailing Fax Number | 9164346310 |
Enumeration Date | 2005-12-22 |
Last Update Date | 2016-11-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | E4185 | CA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PALMETTO GBA RAILROAD MED | DE0031 | 01 |
CA | 000E41851 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629592555 | Brian Keller | Nurse Anesthetist, Certified Registered | Unit 15244 Box 494, Apo, AP 96205-5244 | 2017-08-02 |
1689754780 | Brian J Keller | Registered Nurse | 4200 E Divide Ave, Rjb Armory, Bismarck, ND 58501-7905 | 2006-10-16 |
1356578082 | Brian Christopher Keller | Internal Medicine | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2009-06-20 |
1386711208 | Brian C. Keller | Family Medicine | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2006-11-29 |
1699848432 | Brian T Keller | Nurse Anesthetist, Certified Registered | 112 N 7th St, Chambersburg, PA 17201-1720 | 2006-11-17 |
1891705265 | Brian James Keller | Dentist | 6760 Corporate Drive, Suite 270, Colorado Springs, CO 80919 | 2006-08-09 |
1215994959 | Brian Keith Keller | Family Medicine | 435 N Cedar St, Summerville, SC 29483 | 2006-04-27 |
1790754323 | Brian David Keller | Psychologist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2006-03-16 |
Street Address |
841 STERLING PKWY STE 130 |
City | LINCOLN |
State | CA |
Zip Code | 95648-7324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417146093 | Brian P. Keller Dpm, Inc | Podiatrist | 841 Sterling Pkwy, 130, Lincoln, CA 95648-7324 | 2007-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770125460 | Mary Anne Leavell | Technician | 2010 Hwy. 193, Lincoln, CA 95648 | 2019-10-14 |
1184144487 | Nicolas Sean Losenicky | Non-emergency Medical Transport (VAN) | 818 Equinox Loop, Lincoln, CA 95648 | 2017-06-27 |
1437587946 | Sakura Moua | Pharmacist | 950 Groveland Lane, Target Pharmacy, Lincoln, CA 95648 | 2013-10-18 |
1154698132 | Donald R Myers | Pharmacist | 405 South Highway 65, Lincoln, CA 95648 | 2011-11-19 |
1568757110 | Bryan Lee | Dentist | 1510 Del Webb Blvd Ste B106, Lincoln, CA 95648 | 2011-06-11 |
1881901437 | Irene Bailon Hermo | Dentist | 831 Sterling Parkway Suite 130, Lincoln, CA 95648 | 2010-09-02 |
1851424501 | Maria Eloisa B Espiritu | Dentist | 2295 Fieldstone Drive, Suite 240, Lincoln, CA 95648 | 2007-03-13 |
1184752966 | Eireann Elizabeth Smith | Marriage & Family Therapist | 110 Gateway Oaks Drive, Suite 210, Lincoln, CA 95648 | 2007-03-01 |
1407982697 | Lincoln Internal Medicine, A Medical Corp. | Internal Medicine | 801 Sterling Parkway #120, Suite D, Lincoln, CA 95648 | 2007-02-24 |
1073656518 | Paul Ernest Denzler | Dentist | 588 First St., Lincoln, CA 95648 | 2007-02-15 |
Find all providers in zip 95648 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023203874 | Richard M. Evans, D.p.m., P.C. | Podiatrist | 3401 O St, Lincoln, NE 68510-1541 | 2007-09-13 |
1710076906 | Torrey Brett Rassfeld | Podiatrist | 2627 Stockwell St, Lincoln, NE 68502-5755 | 2006-10-12 |
1508978693 | Brock Randall Angelos | Podiatrist | 4213 O St, Lincoln, NE 68510-1751 | 2006-08-31 |
1427069442 | Dale Meier Fountain | Podiatrist | 5835 Vine St, Lincoln, NE 68505-2847 | 2006-08-11 |
1093726150 | Richard Marcus Evans | Podiatrist | 3401 O Street, Lincoln, NE 68510-1541 | 2006-08-11 |
1326068396 | Paula F. Angelini | Podiatrist | 14 Old Winter St, Lincoln, MA 01773 | 2006-07-20 |
1013934074 | Wayne V Videtich | Podiatrist | 2710 South St, Lincoln, NE 68502-3252 | 2006-07-16 |
1972563559 | Lynn Marie Dennis | Podiatrist | 604 N Union St Ste 2, Lincoln, IL 62656-1578 | 2006-03-27 |
1629207261 | Jeffrey C Wienke Jr. | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2009-07-03 |
1568621654 | Health Access Network Inc | Podiatrist | 175 West Broadway, Lincoln, ME 04457 | 2008-06-04 |
Find all providers in LINCOLN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.