Active NPI
Brent Keaner, D.O.
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101021960
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101021960 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Lake County LTD | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Cook County LLC | Emergency Medicine | Current | Accepting new patients |
| Third Coast Emergency Physicians Southwest PA | Emergency Medicine | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Maryland, LLC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Cuyahoga County, LTD | Emergency Medicine | Current | Accepting new patients |
| Ahn Emergency Group of Indiana County, LTD | Emergency Medicine | Current | Accepting new patients |
| Ahn Emergency Group of Pittsburgh LTD. | Emergency Medicine | Current | Accepting new patients |
| Mep Health, LLC | Emergency Medicine | Current | Accepting new patients |
| Tri-State Memorial Hospital | Current | 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
- 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.
-
- Emergency Medicine Physician
- Indiana, PA
- NPI 1821475872
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1043635402
-
- Emergency Medicine Physician
- Olympia Fields, IL
- NPI 1114168929
-
- Emergency Medicine Physician
- Akron, OH
- NPI 1265471148
-
- Emergency Medicine Physician
- Willoughby, OH
- NPI 1154763944
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1497793475
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1760485221
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.