Kelley Brossy DO PC

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

5315073051 Issued in MI

Legal business name

KELLEY BROSSY DO PC

Practice address

21031 Michigan Ave
Dearborn, MI 48124-2339

Phone

(313) 277-6700

Fax

(313) 216-0176

NPI assigned

Jun 30, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tricia L Adamen

Title

Practice Manager

Phone

(313) 277-6700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelley James Brossy, D.O.

  • Orthopaedic Surgery Physician
  • Dearborn, MI
  • NPI 1235423708
  Medicare reassignment Care Compare group NPD
• Jacquelyn Mary Murphy, AGACNP

  • Acute Care Nurse Practitioner
  • Clawson, MI
  • NPI 1710611470
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316468275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21031 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242339",
            "telephone_number": "313-277-6700",
            "fax_number": "313-216-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242339",
            "telephone_number": "313-277-6700",
            "fax_number": "313-216-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY BROSSY DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ADAMEN",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "313-277-6700"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MI",
            "license": "5315073051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Kedziorek
• Daniel Keelan, CCC-SLP
• Leah Katherine Keilman
• Keith L Curtis MD PC
• Mandy Kell
• Meghan Honora Elizabeth Kelley
• Israa Kenaan, DO
• Raghida Kenaan
• Israa Ismail Kenana, RPH
• Ariel R Kennedy-Giles

• Orthopaedic Trauma Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Orthopaedic Trauma Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.