KEITH RICHARD O'BRIEN (NPI# 1740667815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740667815 |
| Entity Type | Individual |
| Full Name | KEITH RICHARD O'BRIEN |
| Credential | M.D. |
| Practice Address |
2600 Main St Ste 119 Bridgeport CT 06606-5305 |
| Practice Telephone | 2033388760 |
| Mailing Telephone | 2033388760 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 64924 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437234689 | Keith Stuart O'brien | Dentist | 9 Pinnacle Drive Suite 103, Fishersville, VA 22939 | 2006-10-26 |
| 1124024625 | Keith Osmond O'brien | Family Medicine | Southwest General Health Center, 18697 Bagley Road, Middleburg Heights, OH 44130 | 2005-06-21 |
| 1740575935 | Keith Gerald O'brien | Psychologist | 2000 Chambers Rd, Caro, MI 48723-9293 | 2011-06-15 |
| Street Address |
2600 MAIN ST STE 119 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235295577 | The Urology Center, Pllc | Urology | 9 Chenoweth Dr # B, Bridgeport, WV 26330-1675 | 2006-12-29 |
| 1750375549 | Jeffrey Daniel Small | Urology | 4695 Main St, Bridgeport, CT 06606-1802 | 2005-09-07 |
| 1407115876 | Viacheslav Iremashvili | Urology | 135 Professional Pl, Bridgeport, WV 26330-4509 | 2012-05-04 |
| 1023337193 | United Hospital Center, Inc | Urology | 135 Professional Pl, Bridgeport, WV 26330-4509 | 2010-05-27 |
| 1851555460 | Oluyemi Akin-olugbade | Urology | 135 Professional Pl, Bridgeport, WV 26330-4509 | 2008-07-12 |
| 1427168707 | Milton Armm Md PC | Urology | 3180 Main Street, Room 305, Bridgeport, CT 06606 | 2006-08-30 |
| 1679683965 | Milton Frank Armm | Urology | 3180 Main Street, Room 305, Bridgeport, CT 06606 | 2006-08-30 |
| 1407881535 | Grant L Franklin Jr. | Urology | 135 Professional Pl, Bridgeport, WV 26330-4509 | 2006-07-11 |
| 1467405217 | William Tuong | Urology | 135 Professional Pl, Bridgeport, WV 26330-4509 | 2006-05-19 |
| 1821082272 | Scott K Luttge | Urology | 135 Professional Pl, Bridgeport, WV 26330-4509 | 2005-08-31 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on KEITH RICHARD O'BRIEN.
| 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.