Individual provider Active NPI

Brittanny Jo Keeler, D.O.

  • Obstetrics & Gynecology Physician
  • West Seneca, NY
National Provider Identifier
1164789210
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
284818 Issued in NY
Practice address
3050 Orchard Park Rd
West Seneca, NY 14224
Phone
(716) 675-5222
Fax
(716) 675-9329
NPI assigned
Apr 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Obstetrics & Gynecology Physician 207V00000X 284818 NY Primary

Addresses

Primary practice location

3050 Orchard Park Rd
West Seneca, NY 14224

Mailing address

3050 Orchard Park Rd
West Seneca, NY 14224-4658
Phone (716) 675-5222

Other practice location 1

761 Main Ave Ste 100
Norwalk, CT 06851-1080
Phone (203) 644-1100

Other practice location 2

219 Bryant St
Buffalo, NY 14222-2006
Phone (716) 878-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929002201 NY Practitioner - Obstetrics/Gynecology 9436446788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

5014 Transit Rd
Depew, NY 14043-4435
Phone (716) 748-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
284818NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jan 1, 2020 Accepting new patients
Kaleida Health Past Accepting new patients

Locations

219 Bryant St
Buffalo, NY 14222
Phone (716) 878-7000

4845 Transit Rd
Depew, NY 14043
Phone (716) 656-2200

5014 Transit Rd
Depew, NY 14043
Phone (716) 684-2273

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • Direct secure messaging: bkeeler@gppc.medentdirect.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1164789210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244658",
            "telephone_number": "716-675-5222",
            "fax_number": "716-675-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-675-5222",
            "fax_number": "716-675-9329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 Main Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068511080",
            "country_code": "US",
            "telephone_number": "203-644-1100",
            "fax_number": "203-644-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Bryant St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142222006",
            "country_code": "US",
            "telephone_number": "716-878-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEELER",
        "first_name": "BRITTANNY",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "284818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.