Brian Charles Keeley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05008541L Issued in PA

Practice address

10 Cavalier Drive
Ambler Family Practice
Ambler, PA 19002

Phone

(215) 646-0969

Fax

(215) 643-8363

NPI assigned

Nov 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1427120583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CAVALIER DRIVE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-646-0969",
            "fax_number": "215-643-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CAVALIER DRIVE",
            "address_2": "AMBLER FAMILY PRACTICE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-646-0969",
            "fax_number": "215-643-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "BRIAN",
        "middle_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "05008541L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01614264",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Kaffey, MA, CCC-SLP
• Michael Kaganovich, M.D.
• Esther E. Kamisar, PH.D.
• Adam Kantrowitz, LBS
• Jeff Katowitz, LMFT
• Amy Mara Keitz, PT
• Joseph Brian Kennedy
• Lea Janeen Kephart
• Kathleen Kerrigan, RDMS
• Stephanie Keyte, MS, RDN, IFNCP, CLT

• Family Medicine Physician in Ambler, PA
• Providers in Ambler, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.