Active NPIIndividual provider

Mr. Brian J Kelley, MD

Neurological Surgery in Farmington, Connecticut

NPI Number1114192226
Practice location
263 Farmington Ave, Farmington, CT 06030-4319
Fax
860-679-1430
Last updated
January 17, 2023

Brian Joseph Kelley is a Neurological Surgery based in Farmington, CT. Brian Joseph Kelley practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Brian Joseph Kelley is 1114192226 and holds a License No. MD454095 (PA). The current practice location address for Brian Joseph Kelley is 263 Farmington Ave, Farmington, CT 06030-4319 and can be reached out via phone at 860-679-8080 and via fax at 860-679-1430.

Provider Profile Details

NPI Number
1114192226
Provider Name
Brian Joseph Kelley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT 06030-4319
Phone Number
860-679-8080
Fax Number
860-679-1430
Primary Taxonomy
Neurological Surgery · 207T00000X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2008
Last Update Date
January 17, 2023
Certification Date
January 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
263 Farmington Ave
Farmington, CT 06030-4319
Zip
06030-4319
Phone Number
860-679-8080
Fax Number
860-679-1430
Farmington, CT 06030Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Ave
Farmington, CT 06030-8082
City
Farmington
State
CT
Zip
06030-8082
Phone Number
860-679-8080
Fax Number
860-679-1430

License Information

License Number (1)
MD454095
License State (1)
PA
Taxonomy (1)
Neurological Surgery · 207T00000X
License Number (2)
070803
License State (2)
CT
Taxonomy (2)
Neurological Surgery · 207T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Brian J Kelley, MD?

The NPI number of Mr. Brian J Kelley, MD is 1114192226. It was assigned on April 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Brian J Kelley, MD?

Mr. Brian J Kelley, MD is registered under the primary taxonomy Neurological Surgery (code 207T00000X), licensed in PA under license number MD454095.

Where does Mr. Brian J Kelley, MD practice?

The practice location is 263 Farmington Ave, Farmington, CT 06030-4319. The office can be reached at 860-679-8080 (phone) or 860-679-1430 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114192226 directly on the NPPES registry website.

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