Brian Robert Kelly, MD is a
Physical Medicine & Rehabilitation physician based in Fort Carson, Colorado. Brian Robert Kelly is licensed to practice in Texas (license number R7037) and his current practice location is 7489 Sutherland Circle, Bldg 7489, Fort Carson, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 526-4911.
NPI number for Brian Robert Kelly is 1851786883 and his current mailing address is 7489 Sutherland Circle, Bldg 7489, Fort Carson, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851786883.
Physician's Profile
| Full Name | Brian Robert Kelly |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 7489 Sutherland Circle, Fort Carson, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851786883
- Provider Enumeration Date: 04/07/2015
- Last Update Date: 02/21/2024
Medical Identifiers
Medical identifiers for Brian Robert Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851786883 | NPI | - | NPPES |
| 0341279. | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 35.135837 (Ohio) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | R7037 (Texas) | Primary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | R7037 (Texas) | Secondary |
| 204R00000X | Electrodiagnostic Medicine | R7037 (Texas) | Secondary |
| 2081P0301X | Physical Medicine & Rehabilitation - Brain Injury Medicine | R7037 (Texas) | Secondary |
| 2081P0301X | Physical Medicine & Rehabilitation - Brain Injury Medicine | 35.135837 (Ohio) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Robert Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brian Robert Kelly, MD
7489 Sutherland Circle, Bldg 7489,
Fort Carson, CO 80913
Ph: (719) 526-8882 | Brian Robert Kelly, MD
7489 Sutherland Circle, Bldg 7489,
Fort Carson, CO 80913
Ph: (719) 526-4911 |
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