Active NPI
Brenna Marie Keogh, MD
- Diagnostic Radiology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD20031
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-5174
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1022485 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | MD20031 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2500
Other practice location 1
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
Other names 1
- Brenna Marie Kelley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tufts University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rhode Island Medical Imaging Inc
Practice addresses (Care Compare)
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
593 Eddy St
Providence, RI 02903
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520
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.
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1639738099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 METRO CENTER BLVD STE 2000",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861785",
"telephone_number": "401-432-2500",
"fax_number": "401-889-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-5174"
}
],
"practiceLocations": [
{
"address_1": "211 Park St",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027033143",
"country_code": "US",
"telephone_number": "508-222-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEOGH",
"first_name": "BRENNA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "1022485",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "MD20031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENNA",
"last_name": "KELLEY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.