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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KEITH ROBERT BRUNCKHORST M.D.
NPI 1053381186
Specialist in New York, NY

Active since January 23, 2006PECOS Enrolled
99.15/100
CMS Quality Rating
157 E 72ND ST, NEW YORK, NY 10021(212) 583-2858(212) 988-8408 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Jun 28, 2017 (2 updates tracked since 2017).

About Dr. Keith Robert Brunckhorst M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH ROBERT BRUNCKHORST M.D. (NPI 1053381186) is an individual specialist in New York, New York, licensed in New York (137444) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053381186
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KEITH ROBERT BRUNCKHORSTCredential: M.D.
Location Address157 E 72ND STNew York, NY 10021-4331
Mailing Address157 E 72nd StNew York, NY 10021-4331 · (212) 583-2858 · Fax (212) 988-8408
Phone(212) 583-2858
Fax(212) 988-8408
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1053381186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 137444
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
157 E 72ND ST, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 3

Other3C5522Healthnet
Other4322245Aetna
OtherP406448Oxford

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Robert Brunckhorst M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES MERKER, MD, PC
Specialist
157 E 72ND ST
NEW YORK, NY 10021
New York County (212) 535-5600
DR. JOHN DITREDICI D.O.
Plastic Surgery
157 E 72ND ST
NEW YORK, NY 10021
New York County (212) 717-5560
AUDRA DENISE EKEINDE-JIMENEZ LCSW
Social Worker (Clinical)
157 E 72ND ST, SUITE J
NEW YORK, NY 10021
New York County (646) 964-4363
RICARDO ISSA PHYSICIAN PC
Internal Medicine
157 E 72ND ST
NEW YORK, NY 10021
New York County (212) 772-1211
DR. GEORGE KLEIN MD
Specialist
157 E 72ND ST
NEW YORK, NY 10021
New York County (718) 441-2600
BKA WOMEN'S HEALTH CARE P.C
Specialist
157 E 72ND ST
NEW YORK, NY 10021
New York County (888) 665-2227
R&R MENTAL HEALTH COUNSELING
Counselor (Mental Health)
157 E 72ND ST, OFFICE J
NEW YORK, NY 10021
New York County (212) 964-4363
EAST SIDE UROLOGY ASSOCIATES
Clinic/Center (Ambulatory Surgical)
157 E 72ND ST
NEW YORK, NY 10021
New York County (212) 744-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Brunckhorst's NPI number?

The NPI number for Keith Brunckhorst is 1053381186. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Keith Brunckhorst located?

Keith Brunckhorst practices at 157 E 72nd St, New York, NY 10021. The listed phone number is (212) 583-2858.

What is Keith Brunckhorst's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Keith Brunckhorst enrolled in Medicare?

Yes. Keith Brunckhorst is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Brunckhorst was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.