KEITH BRODEUR
NPI 1053764290
Registered Nurse - Community Health in Holyoke, MA

Active since July 22, 2016
230 MAPLE ST, HOLYOKE, MA 01040(413) 420-2200 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith Brodeur NPPES

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

KEITH BRODEUR (NPI 1053764290) is an individual community health provider in Holyoke, Massachusetts, licensed in Massachusetts (RN2305966) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1053764290
Entity TypeIndividualMale
Primary Taxonomy163WC1500X
Provider Legal NameKEITH BRODEUR
Location Address230 MAPLE STHolyoke, MA 01040-5144
Mailing Address230 Maple StHolyoke, MA 01040-5144 · (413) 420-2200
Sole ProprietorYes
Enumeration DateJuly 22, 2016
NPI 1053764290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License Licensed in MA · RN2305966
230 MAPLE ST, Holyoke, MA 01040

Other Identifiers 1

Medicaid110027773MA

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Community Health)
230 MAPLE ST
HOLYOKE, MA 01040
Registered Nurse (General Practice)
230 MAPLE ST
HOLYOKE, MA 01040
Counselor
230 MAPLE ST
HOLYOKE, MA 01040
Counselor
230 MAPLE ST
HOLYOKE, MA 01040
Nurse Practitioner (Family)
230 MAPLE ST
HOLYOKE, MA 01040
Counselor (Mental Health)
230 MAPLE ST, SUITE B1
HOLYOKE, MA 01040
Optometrist
230 MAPLE ST
HOLYOKE, MA 01040
Registered Nurse (Community Health)
230 MAPLE ST
HOLYOKE, MA 01040

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 Brodeur's NPI number?

The NPI number for Keith Brodeur is 1053764290. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Keith Brodeur located?

Keith Brodeur practices at 230 Maple St, Holyoke, MA 01040. The listed phone number is (413) 420-2200.

What is Keith Brodeur's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Keith Brodeur was last updated on July 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.