Active NPI
Kelly Brown, DO
- Family Medicine Physician
- Chandler, AZ
National Provider Identifier
1235417544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 009329
- Practice address
- 3200 S Gilbert Rd Ste 116
Chandler, AZ 85286-5107 - Phone
- (480) 818-5553
- Fax
- (480) 497-4067
- NPI assigned
- Aug 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0067490 | CO | |
| Family Medicine Physician | 207Q00000X | T7174 | TX | |
| Family Medicine Physician | 207Q00000X | 12568 | CA | |
| Family Medicine Physician | 207Q00000X | 009329 | AZ | Primary |
Addresses
Primary practice location
3200 S Gilbert Rd Ste 116
Chandler, AZ 85286-5107
Mailing address
3200 S Gilbert Rd Ste 116
Chandler, AZ 85286-5107
Phone (480) 818-5553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 3, 2025 through Nov 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12568 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 009329 | AZ | MD | Family Medicine Physician |
| DO034816 | DC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- kelly.brown.1@27165.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1235417544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 S GILBERT RD STE 116",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852865107",
"telephone_number": "480-818-5553",
"fax_number": "480-497-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S GILBERT RD STE 116",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852865107",
"telephone_number": "480-818-5553",
"fax_number": "480-497-4067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KELLY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0067490",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T7174",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "12568",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "009329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.