Provider Demographics
NPI:1568457323
Name:BRECHER, KEITH R (MD)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:R
Last Name:BRECHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:227 CENTERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4394
Mailing Address - Country:US
Mailing Address - Phone:401-732-3332
Mailing Address - Fax:401-739-0196
Practice Address - Street 1:227 CENTERVILLE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4394
Practice Address - Country:US
Practice Address - Phone:401-732-3332
Practice Address - Fax:401-739-0196
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2025-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD116082084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1568457323OtherNPI
RI9143373OtherPHCS
RI3740870OtherAETNA
RI050513332OtherHUMANA
RI050513332OtherUNITED HEALTHCARE
RI050513332OtherCHAMPAS
RI29119OtherBLUE CROSS BLUE SHIELD
RI494200OtherTUFTS
RIAA19864OtherPILGRIM
RI411996OtherBLUE CHIP
RI9003890Medicaid
RI3740870OtherAETNA