Brandi J Kelly, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD.201854 Issued in LA

Practice address

830 W Bayou Pines Dr
Lake Charles, LA 70601-7097

Phone

(337) 436-9557

Fax

(337) 312-1311

NPI assigned

May 23, 2007

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Pathology

Education

Louisiana State University School of Medicine in Shreveport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Pathology Laboratory, Inc.Group PAC ID 0941240782, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.01 of 100Reported as group

Quality

81.19

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Pathology Laboratory, Inc.

  • Clinical Medical Laboratory
  • Lake Charles, LA
  • NPI 1215917588

  Clinical Pathology

  Medicare reassignment Care Compare group NPD
• Pathology Group of Louisiana, a Professional Medical Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Baton Rouge, LA
  • NPI 1093843450
  Medicare reassignment NPD
• Pathology Group of Louisiana, a Professional Medical Corporation

  • Clinical Medical Laboratory
  • Baton Rouge, LA
  • NPI 1194978122

  Anatomic Pathology & Clinical Pathology

  NPD
• TPL FL LLC

  dba Microbiology Associates

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
  • NPI 1801291794
  NPD
• Louisiana State University Health Sciences Center

  dba LSUHSC-S Department of Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1326117003
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1205046414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017097",
            "telephone_number": "337-436-9557",
            "fax_number": "337-312-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017097",
            "telephone_number": "337-436-9557",
            "fax_number": "337-312-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRANDI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.201854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1214671",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith F. Desonier, MD, Apmc
• Logan J Keller, NP
• Brian Christopher Kelley, D.O.
• Holley Nanette Kelley, D.O.
• Lloyd Thurston Kelley, L..C.S.W.
• Quovase Kelly
• Sophia Jean Kelly
• Shyrhonda Kenebrew
• Amy Harper Kennedy, PLC
• Brooke Kennedy, APRN

• Anatomic Pathology & Clinical Pathology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.