Brenda K Keller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18749 Issued in NE

Practice address

4908 Cass St
Omaha, NE 68132-2913

Phone

(402) 249-6136

Fax

(402) 502-6823

NPI assigned

May 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Nebraska Dept of Admin Services

  • Skilled Nursing Facility
  • Kearney, NE
  • NPI 1790706034
  Medicare reassignment NPD
• State of Nebraska Dept of Admin Services

  • Intellectual Disabilities Intermediate Care Facility
  • Beatrice, NE
  • NPI 1114085826
  NPD
• State of Nebraska Dept of Admin Services

  • Skilled Nursing Facility
  • Bellevue, NE
  • NPI 1740387943
  NPD

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1962451260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31266",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681310266",
            "telephone_number": "402-249-6136",
            "fax_number": "402-502-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322913",
            "telephone_number": "402-249-6136",
            "fax_number": "402-502-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BRENDA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NE",
            "license": "18749",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "18749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962451260",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026724400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962451260",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayton Kalysta Kell
• Kellah Home Care LLC
• Krystall Marie Elizabeth Keller-Jacket
• Alyssa Danielle Keller, MS, LCGC
• Alyssa Kay Ann Keller
• Brenda Lea Keller, PT
• Carson Keller
• Colin Keller
• Danielle Keller
• David M Keller, M.D.

• Internal Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.

Verify at the official NPI Registry.