Brandon Kelley

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

779 Issued in WY

Practice address

1156 N Main St
Sheridan, WY 82801-3055

Phone

(970) 925-1808

NPI assigned

Mar 13, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Brandon Kelley DC PCGroup PAC ID 2163811779, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brandon Kelley D.C. P.C.

  • Sports Physician Chiropractor
  • Sheridan, WY
  • NPI 1831675479
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1154862951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 N MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013055",
            "telephone_number": "970-925-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 N MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013055",
            "telephone_number": "970-925-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WY",
            "license": "779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon M Kavanaugh
• Debra A Kawulok, FNP-C
• Shelby Kehrwald
• Meagan J. Kekich
• Tanyon Keller
• Lauren P Kelley, RRT
• Pamela Kate Kennedy, MSW, LCSW
• Christian Lawrence Kilpatrick, DO
• Michaela Rae Kilpatrick, PA-C
• Kyung Nam Kim, M.D.

• Independent Medical Examiner Chiropractor in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Independent Medical Examiner Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.