Brady S Keller, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2388 Issued in MT

Practice address

1690 Rimrock Rd Ste C
Billings, MT 59102-0700

Phone

(406) 248-3303

Fax

(406) 248-3939

NPI assigned

Sep 24, 2008

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bighorn Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Billings, MT
  • NPI 1508657545

  Pediatric Dentistry

  NPD Authorized official
• Rimrock Pediatric Dentistry

  • Pediatric Dentistry
  • Billings, MT
  • NPI 1629324306
  Authorized official Same address or phone
• Beartooth Pediatric Dentistry

  • Pediatric Dentistry
  • Laurel, MT
  • NPI 1144949231
  NPD (past)
• Trailhead Pediatric Dentistry

  • Pediatric Dentistry
  • Billings, MT
  • NPI 1841839230
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1063662294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ZIMMERMAN TRL STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027654",
            "telephone_number": "406-248-3303",
            "fax_number": "406-248-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 RIMROCK RD STE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591020700",
            "telephone_number": "406-248-3303",
            "fax_number": "406-248-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BRADY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MT",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah G. Keenum, MD
• Keith Lee Keierleber, RN, CNOR, CRNFA
• Katherine E Keith, FNP
• Paul H. Kelker, MD
• Kasey Kelleher
• Kelli Mullen LLC
• Kelli Richardsons 406 Physical Therapy LLC
• Kaitlyn Kellner, PA-C
• Nicholas Kellner
• Kelly Williams PLLC

• Pediatric Dentistry in Billings, MT
• Providers in Billings, MT by specialty
• Pediatric Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.