Bernard Keough, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

7437 Issued in FL

Practice address

1401 Forum Way
Suite 800
West Palm Beach, FL 33401-2325

Phone

(561) 682-0999

NPI assigned

Mar 3, 2013

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Palm Beach Prosthodontics, LLC

  • Prosthodontics
  • West Palm Beach, FL
  • NPI 1477793933
  NPD (past)

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362268800000",
    "number": "1265773147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 FORUM WAY",
            "address_2": "SUITE 800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FORUM WAY",
            "address_2": "SUITE 800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012325",
            "telephone_number": "561-682-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-03",
        "last_updated": "2013-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "7437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth a. Hamberg, D.P.M., P.a.
• Kenneth Ness, MD, PA
• Kenneth R Beer MD PA
• Kenneth R. Snyder, MD, PA
• Sebastian A Kent, MD
• Dylan Michael Kerber, APRN, PMHNP-BC
• Jennifer S. Kerbs, CNM
• James Michael Kerpsack, M.D.
• Kedasha Kerr
• Jeryl D Kershner, M.D.

• Prosthodontics in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.