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Individual

KEITH R BRECHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD11608
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050513332
HUMANA
RI
01
1568457323
NPI
RI
01
29119
BLUE CROSS BLUE SHIELD
RI
01
3740870
AETNA
RI
01
411996
BLUE CHIP
RI
01
494200
TUFTS
RI
05
9003890
RI
01
9143373
PHCS
RI
01
AA19864
PILGRIM
RI
Enumeration date
09/16/2005
Last updated
06/03/2025
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