Brian K Kelly, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD052912L Issued in PA

Practice address

1 Medical Center Blvd.
Suite 231 Acp
Upland, PA 19013

Phone

(844) 464-6387

Fax

(215) 239-3037

NPI assigned

May 12, 2006

Last updated

Jan 12, 2022By the provider in NPPES

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 PA, NJ, DE3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Neurology

Education

Hahnemann University College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gni Neuroservices, LLCGroup PAC ID 7416277702, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• St Francis Hospital Hospital, Wilmington, DE, CCN 080003
• Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkelly2013374@direct.trinity-health.org
• Direct secure messaging: brian.kelly@gni.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IBJDCD

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

• Gni Neuroservices LLC

  • Neurological Surgery Physician
  • Lawrenceville, NJ
  • NPI 1851794903

  DE, PA

  Medicare reassignment Care Compare group
• Global Neurosciences Institute LLC

  • Neurological Surgery Physician
  • Chester, PA
  • NPI 1275933228

  Neurology

  Medicare reassignment NPD
• Neurology and Neurophysiology Associates, P.C.

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1578592549
  NPD (past)
• Neurology and Neurophysiology Associates of NJ, P.C.

  • Neurology Physician
  • Turnersville, NJ
  • NPI 1801825773
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services Roxborough LLC

  dba Roxborough Memorial Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1083986129
  Care Compare affiliation
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation
• St. Francis Hospital Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1295738896
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1164473401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD STE 231",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "844-464-6387",
            "fax_number": "215-239-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD.",
            "address_2": "SUITE 231 ACP",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "844-464-6387",
            "fax_number": "215-239-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD052912L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Jose, MD
• Mark A Kaplan, M.D.
• Nicole Kawa, CRNA
• Paul Joseph Keating, MD
• Stephanie Keller, MD
• W Alan Keogh, DO
• Akshita Khosla, MBBS
• Patricia Kidwell, CRNA
• Alice Soyoung Kim, MD
• Fnu Komaldeep Kaur, MD

• Neurology Physician in Upland, PA
• Providers in Upland, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.