Healthcare Provider Details

I. General information

NPI: 1770836470
Provider Name (Legal Business Name): BRANDON KEYS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2012
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W NORTH DOWN RIVER RD
GRAYLING MI
49738-2060
US

IV. Provider business mailing address

400 HOBART ST
CADILLAC MI
49601-2331
US

V. Phone/Fax

Practice location:
  • Phone: 989-348-0800
  • Fax: 989-344-5725
Mailing address:
  • Phone: 231-876-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.131532
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301509587
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number125-059981
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: