Organization Active NPI

Island Neurology LLC

  • Neurology Physician
  • Middletown, RI
National Provider Identifier
1497547236
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ISLAND NEUROLOGY LLC
Practice address
127 John Clarke Rd Ste 2
Middletown, RI 02842-7632
Phone
(401) 415-0147
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Keith Brecher, MDNPI 1568457323
Title
Owner/MD
Phone
(401) 932-4611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

127 John Clarke Rd Ste 2
Middletown, RI 02842-7632

Mailing address

127 John Clarke Rd Ste 2
Middletown, RI 02842-7632
Phone (401) 415-0147

Other practice location 1

65 McPartland Way
E Greenwich, RI 02818-1151
Phone (401) 415-0147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250721002432 RI Part B Supplier - Clinic/Group Practice 1658887203 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, RI

National Provider Directory

National Provider Directory

Locations

127 John Clarke Rd
Ste 2
Middletown, RI 02842
Phone (401) 497-2491

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1497547236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 JOHN CLARKE RD STE 2",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427632",
            "telephone_number": "401-415-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 JOHN CLARKE RD STE 2",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427632",
            "telephone_number": "401-415-0147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 McPartland Way",
            "address_purpose": "LOCATION",
            "city": "E Greenwich",
            "state": "RI",
            "postal_code": "028181151",
            "country_code": "US",
            "telephone_number": "401-415-0147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "BRECHER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "401-932-4611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.