Brenna M Keogh, MD
Radiology, Diagnostic Radiology in Providence, Rhode Island
1639738099- Practice location
- 593 Eddy St, Providence, RI 02903-4923
- Phone
- 401-444-5174
- Fax
- —
- Last updated
- January 28, 2025
Brenna Marie Keogh is a Radiology, Diagnostic Radiology based in Providence, RI. Brenna Marie Keogh practices in Providence, RI and has the professional credentials of MD. The NPI Number for Brenna Marie Keogh is 1639738099 and holds a License No. 1022485 (MA). The current practice location address for Brenna Marie Keogh is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-5174.
Provider Profile Details
- NPI Number
- 1639738099
- Provider Name
- Brenna Marie Keogh
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 593 Eddy St, Providence, RI 02903-4923
- Phone Number
- 401-444-5174
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Other Names
- Brenna Marie Kelley (Former Name)
- Provider Enumeration Date
- June 10, 2019
- Last Update Date
- January 28, 2025
- Certification Date
- January 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy St
Providence, RI 02903-4923 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4923
- Phone Number
- 401-444-5174
Provider Business Mailing Address Details
- Address
- 125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785 - City
- Warwick
- State
- RI
- Zip
- 02886-1785
- Phone Number
- 401-432-2500
- Fax Number
- 401-889-3619
License Information
- License Number (1)
- 1022485
- License State (1)
- MA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- MD20031
- License State (2)
- RI
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
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 Brenna M Keogh, MD?
The NPI number of Brenna M Keogh, MD is 1639738099. It was assigned on June 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Brenna M Keogh, MD?
Brenna M Keogh, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 1022485.
Where does Brenna M Keogh, MD practice?
The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-5174 (phone).
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 1639738099 directly on the NPPES registry website.