Kelli Brown, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

TP249 Issued in KY

Practice address

105 Thompson Rd
Russell, KY 41169-1645

Phone

(606) 833-8480

NPI assigned

Jun 9, 2010

Last updated

Jul 9, 2013By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelli.brown.1@13661.direct.athenahealth.com

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.

• Lewis County Primary Care Center, Inc.

  dba PrimaryPlus

  • Federally Qualified Health Center (FQHC)
  • Vanceburg, KY
  • NPI 1457303802
  Medicare reassignment NPD
• Lewis County Primary Care Center, Inc.

  dba PrimaryPlus - Morehead

  • Federally Qualified Health Center (FQHC)
  • Morehead, KY
  • NPI 1215643440
  NPD
• Professional Pediatrics, PSC

  • Pediatrics Physician
  • Russell, KY
  • NPI 1083819304
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1275853533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2155",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052155",
            "telephone_number": "606-833-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 THOMPSON RD",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "411691645",
            "telephone_number": "606-833-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELLI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "TP249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellefonte Physician Services, Inc. (Bellefonte Pediatrics Russell)
• Tiffany Blanton, LPCC, NCC
• Brittany Block, APRN
• Bodyworx Physical Therapy & Chiropractic Wellness Center PLLC
• Bodyworx Spine & Chiropractic PLLC
• Carey Chiropractic and Rehabilitation Center, Inc
• Community Inclusion LLC
• Community Inclusion LLC
• Community Inclusion LLC
• Lane Cullums, DPT

• Pediatrics Physician in Russell, KY
• Providers in Russell, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.