Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith C Leatherbury, MD

Individual provider Surgery Physician · NPI 1780682153

Dr. Keith C Leatherbury, MD is a General Surgery in Fremont, Nebraska. Qualified in 1987, 39 years ago. Practices with Physicians Clinic Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
39
Licensed in
NE
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2830 N Clarkson St
Fremont, NE 68025-7718
Phone: (402) 721-6333
Fax: (402) 721-6320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 18655 (NE)
Specialist Taxonomy 174400000X · Licence 18655 (NE)

Record details

NPI number1780682153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Physicians Clinic Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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