Active NPI
Gregory Martin Keane, D.O.
- Psychiatry Physician
- Bellevue, NE
National Provider Identifier
1386713527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 486
- Practice address
- 1309 Harlan Dr
Suite 206
Bellevue, NE 68005-6604 - Phone
- (402) 291-6789
- Fax
- (402) 291-8806
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 486 | NE | Primary |
Addresses
Primary practice location
1309 Harlan Dr
Suite 206
Bellevue, NE 68005-6604
Mailing address
PO Box 641130
Omaha, NE 68164-7130
Phone (402) 717-4390
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 486 | NE | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Health Immanuel Medical Center | Past | Accepting new patients | |
| Alegent Health Immanuel Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Alegent Health IMC Rehab Prov Services
- Physical Medicine & Rehabilitation Physician
- Omaha, NE
- NPI 1497891543
-
dba Alegent Health Immanuel Medical Center Outreach
- Cardiovascular Disease Physician
- Omaha, NE
- NPI 1912192907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386713527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641130",
"city": "OMAHA",
"state": "NE",
"postal_code": "681647130",
"telephone_number": "402-717-4390",
"fax_number": "402-717-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 HARLAN DR",
"address_2": "SUITE 206",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680056604",
"telephone_number": "402-291-6789",
"fax_number": "402-291-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEANE",
"first_name": "GREGORY",
"middle_name": "MARTIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.