Active NPI
Brian Keay, MD
- Pulmonary Disease Physician
- Yelm, WA
National Provider Identifier
1699982462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD00028964
- Practice address
- 313 W Yelm Ave
Yelm, WA 98597-7669 - Phone
- (360) 458-4100
- Fax
- (360) 458-4220
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD00028964 | WA | Primary |
Addresses
Primary practice location
313 W Yelm Ave
Yelm, WA 98597-7669
Mailing address
313 W Yelm Ave
Yelm, WA 98597-7669
Phone (360) 458-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108612 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00028964 | WA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699982462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 W YELM AVE",
"city": "YELM",
"state": "WA",
"postal_code": "985977669",
"telephone_number": "360-458-4100",
"fax_number": "360-458-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 W YELM AVE",
"city": "YELM",
"state": "WA",
"postal_code": "985977669",
"telephone_number": "360-458-4100",
"fax_number": "360-458-4220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAY",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD00028964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1108612",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yelm, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.