Keith Michael Brandwen, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

013973 Issued in NY

Practice address

4487 3Rd Ave
Bronx, NY 10457-1526

Phone

(718) 960-4222

NPI assigned

Nov 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Keith Michael Brandwen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1992958979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283459",
            "telephone_number": "917-209-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4487 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571526",
            "telephone_number": "718-960-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDWEN",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITH",
            "last_name": "BRANDWEN",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Renee P Brand, M.D.
• Frederick Brandenberger, LCSW
• Robert Harrison Brandon II, D.O.
• Lawrence J Brandt, MD
• Stephan Anthony Brandt
• Josephine Branzuela, PT
• Amandeep Kaur Brar, M.D.
• Biant Brar, OD
• Victoria Brasher, LMSW
• Lalko Brasnarov, PA

• Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.