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Bryan Keenan

General Practice Physician

Mag 39 Area 22 Medical, Bldg 22190
Camp Pendleton , California 92055

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Image

Bryan Keenan

General Practice Physician

Mag 39 Area 22 Medical, Bldg 22190
Camp Pendleton , California 92055

Write a Review Save Call

Bryan Keenan

General Practice Physician

Mag 39 Area 22 Medical, Bldg 22190
Camp Pendleton , California 92055

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • General Practice Physician

Languages spoken

  • English

Location

Mag 39 Area 22 Medical, Bldg 22190 Camp Pendleton , California 92055

First Address

  • Bryan Keenan
  • 12562 Caminito Mira Del Mar
  • San Diego, CA
  • Zip : 92130-2387
  • Phone :

Second Address

  • Bryan Keenan
  • Mag 39 Area 22 Medical, Bldg 22190
  • Camp Pendleton, CA
  • Zip : 92055
  • Phone : (760) 725-2969

Reviews

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FAQs


Where did Bryan Keenan attend graduate school?

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Where did Bryan Keenan do his residency?

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Where did Bryan Keenan do his fellowship?

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Is Bryan Keenan board certified?

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What type of doctor is Bryan Keenan

General Practice Physician

In what state does Bryan Keenan practice in?

California

Where is Bryan Keenan ’s practice located?

Mag 39 Area 22 Medical, Bldg 22190 , Camp Pendleton, California, 92055

What is Bryan Keenan ’s gender?

Male

Is Bryan Keenan a sole practitioner?

No

Is Bryan Keenan accepting new patients?

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What languages does Bryan Keenan speak?

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Does Bryan Keenan accept insurance?

Yes, Bryan Keenan accepts insurance

Does Bryan Keenan offers telemedicine?

Bryan Keenan has not indicated if he offers telemedicine

What is Bryan Keenan ’s professional license number?

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What is Bryan Keenan ’s NPI number?

1033311758

Does Bryan Keenan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208D00000X General Practice Physician 0101237249 VA

National Provider Identifier

NPI 1033311758
Provider Name Bryan Keenan
First Address San Diego, CA 92130-2387
Second Address Camp Pendleton, CA 92055
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 04/06/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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