Organization Active NPI

Bridget J Keller MD LLC

  • Neurology Physician
  • Sarasota, FL
National Provider Identifier
1295998714
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME97313 Issued in FL
Legal business name
BRIDGET J KELLER MD LLC
Practice address
2401 University Pkwy
Suite 204
Sarasota, FL 34243-2893
Phone
(941) 379-8830
Fax
(941) 360-0557
NPI assigned
Jul 3, 2008
Last updated
Jul 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Bridget Jean Keller, M.D.NPI 1306920533
Title
Ceo
Phone
(941) 201-2261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME97313 FL Primary

Addresses

Primary practice location

2401 University Pkwy
Suite 204
Sarasota, FL 34243-2893

Mailing address

8374 Market St
# 239
Lakewood Ranch, FL 34202-5137
Phone (941) 201-2261

National Provider Directory

National Provider Directory

Locations

8374 Market St
Lakewood Ranch, FL 34202
Phone (941) 907-0222

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1295998714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 MARKET ST",
            "address_2": "# 239",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025137",
            "telephone_number": "941-201-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "address_2": "SUITE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-379-8830",
            "fax_number": "941-360-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET J KELLER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-201-2261",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME97313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.