BRIAN W KELLY MD PC (NPI# 1407030760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407030760 |
| Entity Type | Organization |
| Organization Name | BRIAN W KELLY MD PC |
| Practice Address |
545 Se Oak St Suite F Hillsboro OR 97123-4147 |
| Practice Telephone | 5036405950 |
| Practice Fax Number | 5036483140 |
| Mailing Telephone | 5036405950 |
| Mailing Fax Number | 5036483140 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | MRS. JOANNE ELAINE JOHNSON (ACCOUNTS RECEIVABLE BOOKKEEPER) |
| Authorized Official Telephone | 5036405950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD10756 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | GBA RAILROAD MEDICARE | DG4207 | 01 |
| OR | 213070 | 05 |
| Street Address |
545 SE OAK ST SUITE F |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215912407 | Brooks G Cofield II | Specialist | 545 Se Oak St, Ste B, Hillsboro, OR 97123-4117 | 2005-12-09 |
| 1376086694 | Oregon Rheumatology Clinics, LLC | Internal Medicine | 545 Se Oak St, Suite F, Hillsboro, OR 97123-4147 | 2016-11-18 |
| 1457626509 | Kimberly Mcswain | Technician, Other | 545 Se Oak St, Suite A, Hillsboro, OR 97123-4147 | 2012-03-21 |
| 1760542336 | Kathryn Sue Waibel | Registered Nurse | 545 Se Oak St, Suite C, Hillsboro, OR 97123-4147 | 2006-12-12 |
| 1801990478 | Brian Wilbur Kelly | Internal Medicine | 545 Se Oak St, Suite F, Hillsboro, OR 97123-4147 | 2006-09-12 |
| 1578672663 | Robert Gene Byerly | Internal Medicine | 545 Se Oak St, Suite F, Hillsboro, OR 97123-4147 | 2006-08-30 |
| 1417987660 | Michael Stuart Toren | Internal Medicine | 545 Se Oak St, Suite C, Hillsboro, OR 97123-4147 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619209756 | Ana Maria Ponea | Internal Medicine | 364 Se 8th Ave Ste 301a, Hillsboro, OR 97123-5273 | 2010-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073073250 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100c, Corvallis, OR 97330-3784 | 2019-03-22 |
| 1730672411 | Lawrence Edward Permen | Internal Medicine | 25139 Allure Ave, Veneta, OR 97487-8713 | 2018-06-07 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| 1750648432 | Robert Dreisin | Internal Medicine | 6350 Sw Burlingame Ave, Portland, OR 97239-2635 | 2012-04-18 |
| 1982984142 | Frank Nelson Turner | Internal Medicine | 2260 Marcola Rd, Springfield, OR 97477-2594 | 2011-08-19 |
| 1962645549 | Elham Karamooz | Internal Medicine | Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2009-04-13 |
| 1912149790 | Samuel R. Glickman | Internal Medicine | 25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, OR 97030 | 2009-03-25 |
| 1831368554 | Ohsu Medical Group | Internal Medicine | 2115 Sw River Pkwy, Portland, OR 97201-8024 | 2008-02-27 |
| 1043496532 | Keri Kay Brown | Internal Medicine | 2055 Exchange St Ste 210, Astoria, OR 97103 | 2008-01-14 |
| Find all providers with the same taxonomy | ||||
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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.