Brian W Kelly MD PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD10756 Issued in OR

Legal business name

BRIAN W KELLY MD PC

Practice address

545 SE Oak St
Suite F
Hillsboro, OR 97123-4147

Phone

(503) 640-5950

Fax

(503) 648-3140

NPI assigned

Dec 21, 2007

Last updated

Feb 12, 2010By 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

Mrs. Joanne Elaine Johnson

Title

Accounts Receivable Bookkeeper

Phone

(503) 640-5950

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1407030760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SE OAK ST",
            "address_2": "SUITE F",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234147",
            "telephone_number": "503-640-5950",
            "fax_number": "503-648-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SE OAK ST",
            "address_2": "SUITE F",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234147",
            "telephone_number": "503-640-5950",
            "fax_number": "503-648-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN W KELLY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE BOOKKEEPER",
        "authorized_official_telephone_number": "503-640-5950",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD10756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBA RAILROAD MEDICARE",
            "identifier": "DG4207",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213070",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Allen Breckley, PA-C
• Mary Ann Brehm, PT
• Tylor Daniel Brekke, DMD, MS
• Kristen Anne Brennan, DC
• Dustin V. Breshears
• Bridge to Health Chiropractic LLC
• Michael Bridges, PT, DPT
• Bridgetown Physical Medicine (Healthsource of Hillsboro)
• Bridgetown Psychotherapy LLC
• Talia Brierly

• Pulmonary Disease Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Pulmonary Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.