Individual provider Active NPI

Brent Keaner, D.O.

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1598152563
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101021960 Issued in MI
Practice address
4201 Saint Antoine St
Uhc-6G
Detroit, MI 48201-2153
Phone
(313) 993-2529
NPI assigned
Apr 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 5101021960 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St
Uhc-6G
Detroit, MI 48201-2153

Mailing address

6978 Trowbridge CT
Saginaw, MI 48603-8637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, DC, MD, WA, TX, IL7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20180820000539 OH Practitioner - Emergency Medicine 9537461330 Reassigns benefits to 2 organizations
I20201008000026 PA Practitioner - Emergency Medicine 9537461330 Reassigns benefits to 2 organizations
I20201111001670 DC Practitioner - Emergency Medicine 9537461330 Reassigns benefits to 2 organizations
I20210329001706 MD Practitioner - Emergency Medicine 9537461330 Reassigns benefits to 1 organization
I20210601001049 WA Practitioner - Emergency Medicine 9537461330 Reassigns benefits to 1 organization
I20220525003060 TX Practitioner - Emergency Medicine 9537461330 Reassigns benefits to 2 organizations
I20220722002063 IL Practitioner - Emergency Medicine 9537461330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101021960MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Lake County LTD Emergency Medicine CurrentSince Aug 9, 2019 Accepting new patients
Emergency Medicine Physicians of Cook County LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Apr 24, 2024 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince May 17, 2022 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Dec 7, 2020 Accepting new patients
Emergency Medicine Physicians of Cuyahoga County, LTD Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Ahn Emergency Group of Indiana County, LTD Emergency Medicine CurrentSince Oct 8, 2020 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Aug 28, 2020 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Nov 2, 2020 Accepting new patients
Tri-State Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients

Locations

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

1267 Belmont Way
Ste B
Clarkston, WA 99403
Phone (509) 751-0312

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

Interoperability endpoints

  • Direct secure messaging: bkeaner190070@santaclaravalley.direct-ci.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1598152563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6978 TROWBRIDGE CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486038637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UHC-6G",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-993-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANER",
        "first_name": "BRENT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101021960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.