KEITH J BREASURE MSN,NP
NPI 1326097767
Nurse Practitioner - Family in Berlin, VT

Active since May 10, 2006
130 FISHER RD, BERLIN, VT 05602(802) 371-4316(802) 371-4579 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith J Breasure Msn,np NPPES

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

KEITH J BREASURE MSN,NP (NPI 1326097767) is an individual family provider in Berlin, Vermont, licensed in Vermont (101.0096152) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1326097767
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEITH J BREASURECredential: MSN,NP
Location Address130 FISHER RDBerlin, VT 05602-9516
Mailing AddressPo Box 547, Att: Cvmc Finance DeptBarre, VT 05641-0547 · (802) 371-4316 · Fax (802) 371-4579
Fax(802) 371-4579
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateFebruary 12, 2015
NPI 1326097767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VT · 101.0096152
Also ListedNurse PractitionerTaxonomy 363L00000X · License LG0000383 (DE)
130 FISHER RD, Berlin, VT 05602

Other Identifiers 2

Medicare UPINQ58509
Medicare PINY400188874VT

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.

Anesthesiology
130 FISHER RD, CENTRAL VT MEDICAL CENTER
BERLIN, VT 05602
Orthopaedic Surgery
130 FISHER RD, BUILDING A, SUITE 2-2
BERLIN, VT 05602
Emergency Medicine
130 FISHER RD, CENTRAL VERMONT MEDICAL CENTER - EMERGENCY MEDICINE
BARRE, VT 05602
Internal Medicine
130 FISHER RD
BERLIN, VT 05602
Emergency Medicine
130 FISHER RD
BERLIN, VT 05602
Emergency Medicine
130 FISHER RD
BERLIN, VT 05602
Emergency Medicine
130 FISHER RD
BERLIN, VT 05602
Emergency Medicine
130 FISHER RD
BERLIN, VT 05602

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 Breasure's NPI number?

The NPI number for Keith Breasure is 1326097767. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Keith Breasure located?

Keith Breasure practices at 130 Fisher Rd, Berlin, VT 05602. The listed phone number is (802) 371-4316.

What is Keith Breasure's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Keith Breasure was last updated on February 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.