BRIAN G KELLY


Address: 25959 Kelly Road, Suite B, Roseville, MI 48066
Phone: 5867739510

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 4301044066 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 2884854 05

Other Providers BRIAN KELLY

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

Office Location

Street Address 25959 KELLY ROAD
SUITE B
City ROSEVILLE
State MI
Zip Code 48066

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ROSEVILLE
Zip Code 48066

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Dataset Information

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.

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