| Dr Brad Richard Kelly, DO | |
|
1000 Pine St W, Varnville, SC 29944-4750 | |
| (803) 943-7702 | |
| Not Available |
| Full Name | Dr Brad Richard Kelly |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 1000 Pine St W, Varnville, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609284223 | NPI | - | NPPES |
| 393596 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R3239 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 58.005341 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 39359 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
| Hampton Regional Medical Center | Varnville, SC | Hospital |
| Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaufort County Memorial Hospital | 7810809365 | 131 |
| Low Country Rural Health Education Consortium Inc | 9931164993 | 2 |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871335018 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
| Entity Name | Beaufort County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598713117 PECOS PAC ID: 7810809365 Enrollment ID: O20050518001061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brad Richard Kelly, DO 1000 Pine St W, Varnville, SC 29944-4750 Ph: (803) 943-7702 | Dr Brad Richard Kelly, DO 1000 Pine St W, Varnville, SC 29944-4750 Ph: (803) 943-7702 |
Dr. Malcolm H Horry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-7612 Fax: 803-943-7613 |