BRETT KELLER (NPI# 1306104419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306104419 |
| Entity Type | Individual |
| Full Name | BRETT KELLER |
| Credential | DO |
| Practice Address |
755 Memorial Pkwy Bldg 200, Suite 201 Phillipsburg NJ 08865-2748 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 9088598884 |
| Practice Fax Number | 9088598841 |
| Mailing Telephone | 4845268046 |
| Mailing Fax Number | 4845266500 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2016-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
25MB09806800 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922450576 | Brett Keller | Optometrist | 2800 Sw Wanamaker Rd, Topeka, KS 66614-4293 | 2016-07-07 |
| 1407870876 | Brett L. Keller | Orthopaedic Surgery | 1505 Eastland Dr, Suite 220, Bloomington, IL 61701-3534 | 2006-07-27 |
| Street Address |
755 MEMORIAL PKWY BLDG 200, SUITE 201 |
| City | PHILLIPSBURG |
| State | NJ |
| Zip Code | 08865-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874296 | Karen Ann Quinlan Memorial Foundation | Home Health | 755 Memorial Pkwy, Bldg 303 Suite 303a, Phillipsburg, NJ 08865-2748 | 2005-07-08 |
| 1083215594 | St. Luke's Warren Physician Group, PC | Internal Medicine | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2020-11-03 |
| 1780299503 | Lizette Martina Morales-ortiz | Speech-Language Pathologist | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2020-09-09 |
| 1457996597 | Catherine Wunder | Physical Therapist | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2019-11-13 |
| 1003451113 | Therese Marie Jordan | Physical Therapist | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2019-11-12 |
| 1871154559 | Nada Farooqui | Student in an Organized Health Care Education/Training Program | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2019-06-24 |
| 1336668797 | Cynthia Cele-nnaeto | Pharmacist | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2017-09-15 |
| 1598295792 | Christopher Servian | Preventive Medicine | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2017-06-20 |
| 1538601802 | St. Luke's Warren Physician Group, PC | Surgery | 755 Memorial Pkwy, Suite 105, Phillipsburg, NJ 08865-2748 | 2016-11-17 |
| 1386191450 | Maryann Butkosky | Speech-Language Pathologist | 755 Memorial Pkwy, Building 200, Suite 208, Phillipsburg, NJ 08865-2748 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748920 | Maria S Hannis | Pharmacist | 1300 Route 22, Phillipsburg, NJ 08865 | 2020-10-23 |
| 1720586886 | Mariana Cristina De Martinez | Counselor | 865 Us Hwy 22 E, Phillipsburg, NJ 08865 | 2018-01-24 |
| 1205353448 | Unity for Developmental Disabilities | Case Management | 212 Summit Ave., Phillipsburg, NJ 08865 | 2017-08-28 |
| 1962954602 | Britt Deluca | Counselor | 865 Us Hwy 22, Phillipsburg, NJ 08865 | 2016-10-28 |
| 1235593302 | Angela Nicolosi | Counselor | 114 South 2nd Street, Phillipsburg, NJ 08865 | 2016-04-05 |
| 1952764698 | Future Project | Day Training, Developmentally Disabled Services | 469 South Main St, Phillipsburg, NJ 08865 | 2016-03-31 |
| 1336485333 | Weiss, Humanick Support Services, LLC | Supports Brokerage | 201 Strykers Crossing, Suite 19-187, Lapatacong, NJ 08865 | 2012-12-19 |
| 1831466119 | Laura A Skrzenski | Pharmacist | 1596 Third Ave, Alpha, NJ 08865 | 2011-11-30 |
| 1841571403 | Darlyn Benemerito Bawasanta | Occupational Therapist | 290 Red School Lane, Brakeley Park Center, Lopatcong, NJ 08865 | 2011-09-08 |
| 1720369614 | Erica B Gracia-cedeno | Counselor | 865 Us Highway 22, Phillipsburg, NJ 08865 | 2011-09-06 |
| Find all providers in zip 08865 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790823755 | Nicholas J Avallone | Orthopaedic Surgery | 755 Memorial Pkwy, Suite 105, Phillipsburg, NJ 08865-2748 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536323 | Collegiate Sports Care, LLC | Orthopaedic Surgery | 345 Main St Ste 201, Madison, NJ 07940-2339 | 2019-06-07 |
| 1215443841 | North Jersey Sports Medicine & Orthopedic Center, LLC | Orthopaedic Surgery | 218 Ridgedale Ave Ste 202, Cedar Knolls, NJ 07927-2109 | 2017-12-19 |
| 1811318496 | Gotham City Orthopedics, LLC | Orthopaedic Surgery | 100 Town Square Pl Ste 208, Jersey City, NJ 07310-2778 | 2013-12-26 |
| 1124454822 | Andrew James Mostello | Orthopaedic Surgery | 205 S Orange Ave Ste C-1200, Newark, NJ 07103 | 2013-09-25 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1215261037 | North Jersey Orthopaedic & Sports Medicine Institute | Orthopaedic Surgery | 6 Brighton Rd Ste 101, Clifton, NJ 07012-1647 | 2009-09-25 |
| 1154569044 | Jose Francisco Colon | Orthopaedic Surgery | 638 Mount Prospect Ave, Newark, NJ 07104-3110 | 2009-01-30 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1184832255 | Frances Mary Rispoli | Orthopaedic Surgery | 426 Franklin Ave, Belleville, Belleville, NJ 07109-1503 | 2007-05-20 |
| 1063562445 | David Michael Deramo | Orthopaedic Surgery | 370 Grand Ave Ste 100, Englewood, NJ 07631-4109 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
| City | PHILLIPSBURG |
| Zip Code | 08865 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.