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

Dr. Keith Robert Brunckhorst, MD

Individual provider Specialist · NPI 1053381186

Dr. Keith Robert Brunckhorst, MD is a Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

157 E 72nd St
New York, NY 10021-4331
Phone: (212) 583-2858
Fax: (212) 988-8408
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 137444 (NY)

Record details

NPI number1053381186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJuly 13, 2026

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