BRIAN G KELLY (NPI# 1396857892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396857892 |
Entity Type | Individual |
Full Name | BRIAN G KELLY |
Credential | MD |
Practice Address |
25959 Kelly Road Suite B Roseville MI 48066 |
Practice Telephone | 5867739510 |
Practice Fax Number | 5867736888 |
Mailing Telephone | 5867739510 |
Mailing Fax Number | 5867736888 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 4301044066 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 2884854 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649763368 | Brian Kelly | Dentist | 9134 Middlebelt Rd, Livonia, MI 48150-4035 | 2018-06-07 |
1801330436 | Brian Kelly | Social Worker | 240 Kensington Ln, Austin, TX 78737-4505 | 2016-12-16 |
1588093207 | Brian Kelly | Physical Therapist | 2801 Quebec St Nw Apt 548, Washington, DC 20008-6249 | 2013-11-04 |
1871810754 | Brian John Kelly | Psychiatry & Neurology | 47547 Coldspring Pl, Sterling, VA 20165-7446 | 2010-04-30 |
1073695953 | Brian M Kelly | Physical Medicine & Rehabilitation | 2850 S Industrial Hwy Ste 400, Ann Arbor, MI 48104-6796 | 2006-10-19 |
1376653451 | Brian Michael Kelly | Physical Therapist | 8228 Brentwood Industrial Dr, Saint Louis, MO 63144-2815 | 2006-08-30 |
1275550717 | Brian J. Kelly | Pediatrics | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2006-07-17 |
1811971666 | Brian P Kelly | Physical Therapist | 415 Crosslake Dr Ste B, Evansville, IN 47715 | 2005-12-05 |
1386286219 | Brian James Kelly | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-11 |
1144794611 | Brian Kelly | Counselor | 140 High St Ste 230, Springfield, MA 01105-1435 | 2019-01-17 |
Street Address |
25959 KELLY ROAD SUITE B |
City | ROSEVILLE |
State | MI |
Zip Code | 48066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
Find all providers in zip 48066 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
1649537846 | Irwin A Herman | Obstetrics & Gynecology | 7372 Timberrose Way, Roseville, CA 95747-8302 | 2012-04-12 |
1407080799 | Andrea T Garland | Obstetrics & Gynecology | 2110 Professional Dr Ste 105, Roseville, CA 95661-3778 | 2009-05-14 |
1932378478 | Reem Basim Shakir | Obstetrics & Gynecology | 20769 E 13 Mile Rd, Roseville, MI 48066-4503 | 2008-02-28 |
1841267960 | Denise Lora Sweeney | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 | 2006-03-07 |
1366419491 | Associates In Womens Health Care | Obstetrics & Gynecology | 5 Medical Plaza Dr Ste 250, Roseville, CA 95661-2868 | 2006-03-07 |
1861467615 | Rita Biesen-bradley, M.d., Inc. | Obstetrics & Gynecology | 8207 Sierra College Blvd, 500, Roseville, CA 95661-9407 | 2006-02-22 |
1184618654 | Melissa Ann Johnson | Obstetrics & Gynecology | 3 Medical Plaza Dr Ste 260, Roseville, CA 95661-3089 | 2005-09-09 |
1831549823 | Minder Kaur Bal | Obstetrics & Gynecology | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2016-06-21 |
1679956999 | Sara Haidar | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066-6504 | 2015-07-06 |
Find all providers in ROSEVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.