NPIMap

Individual provider Active NPI

Kelsey Brooks Reely, DO

  • Internal Medicine Physician
  • Searcy, AR
National Provider Identifier
1346737269
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-13909 Issued in AR
Practice address
3214 E Race Ave
Searcy, AR 72143-4810
Phone
(501) 268-6121
NPI assigned
Apr 16, 2018
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10064050 TX
Internal Medicine Physician 207R00000X E-13909 AR Primary

Addresses

Primary practice location

3214 E Race Ave
Searcy, AR 72143-4810

Mailing address

3214 E Race Ave
Searcy, AR 72143-4810
Phone (501) 268-6121

Other practice location 1

2401 S 31st St # MS 01161B
Temple, TX 76508-0001
Phone (254) 724-2364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210615001509 AR Practitioner - Internal Medicine 1456608728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
William Carey University College of Osteopathic Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Central Arkansas Physician Group PLLCGroup PAC ID 3779070065, 12 clinicians
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

3214 E Race Ave
FL 2
Searcy, AR 72143-4810
Phone (501) 268-6121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-13909ARMDInternal Medicine Physician
BP10064050TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center CurrentSince Jul 28, 2021 Accepting new patients
Central Arkansas Physician Group PLLC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
White County Medical Center CurrentSince Jul 28, 2021 Accepting new patients

Locations

1400 Braden St
Little Rock AFB, AR 72076
Phone (501) 380-3172

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

3214 E Race Ave
Fl 2
Searcy, AR 72143
Phone (501) 230-6643

Organizations & group practices 3

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.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1346737269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810",
            "telephone_number": "501-268-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810",
            "telephone_number": "501-268-6121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St # MS 01161B",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REELY",
        "first_name": "KELSEY",
        "middle_name": "BROOKS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10064050",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-13909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.