BRIAN KEITH VANDENBERG ARNP
NPI 1427381623
Nurse Practitioner - Family in Kennett, MO

Q: What is Brian Vandenberg's NPI number?

The NPI number for Brian Vandenberg is 1427381623. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Q: What is Brian Vandenberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Vandenberg was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 08, 2009

14073 STATE HIGHWAY NN, KENNETT, MO 63857(805) 403-7075 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 21, 2022, Feb 18, 2022, Mar 8, 2021 (3 updates tracked since 2021).

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About Brian Keith Vandenberg Arnp NPPES

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

BRIAN KEITH VANDENBERG ARNP (NPI 1427381623) is an individual family provider in Kennett, Missouri, licensed in Missouri (1427381623) and active in the NPI registry since September 2009. He maintains a secondary practice location in Kennett.

NPPES Registry Identity

NPI1427381623

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRIAN KEITH VANDENBERGCredential: ARNP

Location Address14073 STATE HIGHWAY NNKennett, MO 63857-8329

Mailing Address14073 State Highway NnKennett, MO 63857-8329 · (805) 403-7075

Phone(805) 403-7075

Sole ProprietorYes

Enumeration DateSeptember 8, 2009

Last NPPES UpdateFebruary 21, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2022

✔ NPI 1427381623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MO · 1427381623✔ Licensed in KS · 5374997032

Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X

Also ListedNurse PractitionerTaxonomy 363L00000X · License 139604 (KS)

14073 STATE HIGHWAY NN, Kennett, MO 63857

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Secondary Practice Location 1

Location 114073 State Highway NnKennett, MO 63857-8329 · Phone (805) 403-7075

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 Brian Vandenberg's NPI number?

The NPI number for Brian Vandenberg is 1427381623. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Brian Vandenberg located?

Brian Vandenberg practices at 14073 State Highway Nn, Kennett, MO 63857. The listed phone number is (805) 403-7075.

What is Brian Vandenberg'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 Brian Vandenberg was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.