DR. BRUCE WEAVER KELLER (NPI# 1427169036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427169036 |
| Entity Type | Individual |
| Full Name | DR. BRUCE WEAVER KELLER |
| Credential | M.D. |
| Practice Address |
600 W Hospital Rd Brigham City UT 84302-3006 |
| Mailing Address |
Po Box 719 Brigham City UT 84302-0719 |
| Practice Telephone | 4357342041 |
| Practice Fax Number | 4357238028 |
| Mailing Telephone | 4357342041 |
| Mailing Fax Number | 4357238028 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 151481-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 04192 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730263468 | Bruce J Keller | Dentist | 45-950 Kamehameha Hwy, Kaneohe, HI 96744-3205 | 2006-10-25 |
| Street Address |
600 W HOSPITAL RD |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922119528 | Brigham Medical Clinic, Inc. | Family Medicine | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2006-08-31 |
| 1588297360 | Carla Knighton Smith | Nurse Practitioner | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2020-02-19 |
| 1063906857 | Stephan Michael Moss | Registered Nurse | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2018-06-15 |
| 1992154777 | Kellie Nielsen | Nurse Practitioner | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2016-06-13 |
| 1194038489 | Lindee P Allen | Nurse Practitioner | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2010-07-15 |
| 1144331711 | Thomas Michael Matthews | Family Medicine | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2006-08-31 |
| 1881705424 | Gregg Harry Wilding | Family Medicine | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2006-08-31 |
| 1740391226 | David Gregg Wilding | Internal Medicine | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2006-08-31 |
| 1215048335 | James Robert Taylor | Family Medicine | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783994 | Mountain Top Medical, Pllc | Family Medicine | 140 E 1000 S Ste B2, Brigham City, UT 84302-4399 | 2019-07-30 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1992097612 | John David Malouf | Family Medicine | 1050 S 500 W, Brigham City, UT 84302-4715 | 2011-05-12 |
| 1922119528 | Brigham Medical Clinic, Inc. | Family Medicine | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2006-08-31 |
| 1780119925 | Justin Bradley Watkins | Family Medicine | 984 Medical Dr Ste 1, Brigham City, UT 84302-4712 | 2017-04-25 |
| 1790169654 | Ihc Health Services Inc | Family Medicine | 1050 S 500 W, Brigham City, UT 84302-4715 | 2015-07-10 |
| 1285032854 | Access Healthcare, LLC | Family Medicine | 5 W 200 N, Brigham City, UT 84302-2109 | 2014-12-15 |
| 1427496918 | Aaron Ray Stapley | Family Medicine | 1050 S 500 W, Brigham City, UT 84302-4715 | 2013-06-06 |
| 1801089214 | Lance Fred Barker | Family Medicine | 984 Medical Dr, Suite 1, Brigham City, UT 84302-4712 | 2007-08-20 |
| 1144331711 | Thomas Michael Matthews | Family Medicine | 600 W Hospital Rd, Brigham City, UT 84302-3006 | 2006-08-31 |
| Find all providers in BRIGHAM CITY | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
Please comment or provide details below to improve the information on DR. BRUCE WEAVER KELLER.
| 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.