- Practice location
- 125 Baptist Way Ste 4C, Pensacola, FL 32503-2274
- Phone
- 448-227-6330
- Fax
- 850-626-9606
- Last updated
- July 23, 2026
Keith A Berens is a Physician Assistant based in Pensacola, FL. Keith A Berens practices in Pensacola, FL and has the professional credentials of PAC. The NPI Number for Keith A Berens is 1174505788 and holds a License No. PA9101561 (FL). The current practice location address for Keith A Berens is 125 Baptist Way Ste 4C, Pensacola, FL 32503-2274 and can be reached out via phone at 448-227-6330 and via fax at 850-626-9606.
Provider Profile Details
- NPI Number
- 1174505788
- Provider Name
- Keith A Berens
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 125 Baptist Way Ste 4C, Pensacola, FL 32503-2274
- Phone Number
- 448-227-6330
- Fax Number
- 850-626-9606
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 18, 2005
- Last Update Date
- July 23, 2026
- Certification Date
- July 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 125 Baptist Way Ste 4C
Pensacola, FL 32503-2274 - City
- Pensacola
- State
- Florida
- Zip
- 32503-2274
- Phone Number
- 448-227-6330
- Fax Number
- 850-626-9606
Provider Business Mailing Address Details
- Address
- Po Box 95590
South Jordan, UT 84095-0590 - City
- South Jordan
- State
- UT
- Zip
- 84095-0590
- Phone Number
- 801-784-0954
- Fax Number
- 801-352-7976
License Information
- License Number (1)
- PA9101561
- License State (1)
- FL
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- 2814
- License State (2)
- NH
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- PA2020-0079
- License State (3)
- NM
- Taxonomy (3)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Keith A Berens, PAC?
The NPI number of Mr. Keith A Berens, PAC is 1174505788. It was assigned on November 18, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Keith A Berens, PAC?
Mr. Keith A Berens, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA9101561.
Where does Mr. Keith A Berens, PAC practice?
The practice location is 125 Baptist Way Ste 4C, Pensacola, FL 32503-2274. The office can be reached at 448-227-6330 (phone) or 850-626-9606 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174505788 directly on the NPPES registry website.