DR. BRIAN J KELLY (NPI# 1790735066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790735066 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J KELLY |
| Credential | M.D. |
| Practice Address |
211 Park St Attleboro MA 02703-3143 |
| Mailing Address |
15 Miscoe Brook Dr Wrentham MA 02093-1840 |
| Practice Telephone | 5082367046 |
| Mailing Telephone | 5082367046 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 80094 | MA | Allopathic & Osteopathic Physicians |
| 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 |
| 1396857892 | Brian G Kelly | Obstetrics & Gynecology | 25959 Kelly Road, Suite B, Roseville, MI 48066 | 2006-08-31 |
| 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 |
| Street Address |
211 PARK ST |
| City | ATTLEBORO |
| State | MA |
| Zip Code | 02703-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245859 | Attleboro Anesthesia, Inc. | Specialist | 211 Park St, Attleboro, MA 02703-3143 | 2005-06-21 |
| 1023615515 | Jem Pathology, P.C. | Pathology | 211 Park St, Attleboro, MA 02703-3143 | 2020-10-07 |
| 1194361014 | Jessica Marie Grzebien | Nurse Anesthetist, Certified Registered | 211 Park St, Attleboro, MA 02703-3137 | 2019-11-26 |
| 1083267660 | Jennifer Elmer | Registered Nurse | 211 Park St, Attleboro, MA 02703-3143 | 2019-07-22 |
| 1386122299 | Pamela Dianne Knieriem | Social Worker | 211 Park St, Attleboro, MA 02703-3143 | 2018-08-02 |
| 1063925311 | Rachel Trosky | Nurse Practitioner | 211 Park St, Attleboro, MA 02703-3143 | 2017-11-08 |
| 1568998797 | Sturdy Memorial Hospital, Inc | Pharmacy | 211 Park St, Outpatient Pharmacy, Attleboro, MA 02703-3143 | 2017-05-09 |
| 1982136792 | Amy Elizabeth Walsh | Nurse Anesthetist, Certified Registered | 211 Park St, Attleboro, MA 02703-3143 | 2017-03-30 |
| 1366985160 | Sameeksha Prem | Nurse Practitioner | 211 Park St, Sturdy Memorial Hospital, Attleboro, MA 02703-3143 | 2016-11-28 |
| 1396298584 | Michael Damian Chmielewski | Physician Assistant | 211 Park St, Attleboro, MA 02703-3143 | 2016-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735196 | Neha Juneja | Dentist | 4 Park St., Attleboro, MA 02703 | 2018-09-28 |
| 1366960981 | Michael Crowley | Physical Therapist | 21 North Main Street, Attleboro, MA 02703 | 2017-09-04 |
| 1649719931 | Alpha Dental Center of Attleboro | Dentist | 140 Park St., Suite 3, Attleboro, MA 02703 | 2017-02-20 |
| 1134668874 | Matthew Camara | Developmental Therapist | 98 Middle Street, Attleboro, MA 02703 | 2017-02-14 |
| 1922543453 | Hannah Cho | Dentist | 4 Park Street, Attleboro, MA 02703 | 2016-12-19 |
| 1902340532 | Whitney Randant | Counselor | 23 Whineys Way, Attleboro, MA 02703 | 2016-12-16 |
| 1396193603 | Eric Boynton | Behavioral Analyst | 33 Perry Ave., Attleboro, MA 02703 | 2016-05-26 |
| 1316374770 | Sandy Glover | Counselor | 8 North Main St., Attleboro, MA 02703 | 2013-10-01 |
| 1790120830 | New England Behavioral Service, Inc. | Behavioral Analyst | 21 Park St., Suite 414, Attleboro, MA 02703 | 2013-05-02 |
| 1124390026 | Maria Jasmin Morales | Community/Behavioral Health | The Bates Building, 7 North Main Street, Attleboro, MA 02703 | 2012-02-08 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093721433 | Mark M Mcguire | Emergency Medicine | Sturdy Memorial Hospital, 211 Park St., Attleboro, MA 02703 | 2006-07-31 |
| 1316107022 | Ronald Van Ness-otunnu | Emergency Medicine | 211 Park St, Attleboro, MA 02703-3143 | 2008-06-16 |
| 1316032063 | Nicole Joy Durfey | Emergency Medicine | 211 Park St, Attleboro, MA 02703-3143 | 2006-10-04 |
| 1871695833 | Allan Raskin | Emergency Medicine | 211 Park St, Attleboro, MA 02703-3143 | 2006-09-01 |
| 1083728984 | Hung Q Nguyen | Emergency Medicine | 211 Park St, Attleboro, MA 02703-3143 | 2006-08-18 |
| 1427095173 | Margaret P Mueller | Emergency Medicine | 211 Park St, Sturdy Memorial Hospital, Attleboro, MA 02703-3143 | 2006-06-01 |
| 1336108984 | Michael Demelis | Emergency Medicine | 211 Park Street, Attleboro, MA 02703 | 2006-03-22 |
| 1659356566 | Brian Bhupendra Patel | Emergency Medicine | 211 Park St, Attleboro, MA 02703-3143 | 2005-12-13 |
| 1851382865 | Eric Schwam | Emergency Medicine | 211 Park St, Attleboro, MA 02703-0963 | 2005-10-31 |
| 1992793210 | Bruce Solomon Auerbach | Emergency Medicine | 211 Park St, Attleboro, MA 02703-3143 | 2005-10-11 |
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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.