Active NPI
Brent Keith, MD
- Pediatric Gastroenterology Physician
- Plano, TX
National Provider Identifier
1285804971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- GETP.LSU.G02053.F-G
- Practice address
- 7211 Preston Rd Ste 3500
Plano, TX 75024-0259 - Phone
- (469) 344-7667
- Fax
- (469) 713-8037
- NPI assigned
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | GETP.LSU.G02053.F-G | LA | Primary |
Addresses
Primary practice location
7211 Preston Rd Ste 3500
Plano, TX 75024-0259
Mailing address
PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GETP.LSU.G02053.F-G | LA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Past | Accepting new patients | |
| Lsu Health Sciences Center | Past | Accepting new patients | |
| Lsuhsc New Orleans Physicians | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- New Orleans, LA
- NPI 1306156138
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1780707257
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1447487145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1285804971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35629",
"city": "DALLAS",
"state": "TX",
"postal_code": "752350629",
"telephone_number": "214-424-2200",
"fax_number": "214-231-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 PRESTON RD STE 3500",
"city": "PLANO",
"state": "TX",
"postal_code": "750240259",
"telephone_number": "469-344-7667",
"fax_number": "469-713-8037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "BRENT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "LA",
"license": "GETP.LSU.G02053.F-G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.