Brentwood Pediatric Care PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BRENTWOOD PEDIATRIC CARE PLLC

Practice address

343 Franklin Road
Suite 106
Brentwood, TN 37027-5250

Phone

(615) 814-4500

Fax

(615) 814-4501

NPI assigned

Jun 22, 2021

Last updated

Nov 1, 2021By 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

Dr. Jill Sauser Kelly, MDNPI 1720168354

Title

Pediatrician

Phone

(630) 779-6167

Specialties & licenses 1

Addresses

Locations

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.

• Jill S Kelly, MD

  • Pediatrics Physician
  • Nashville, TN
  • NPI 1720168354
  NPD Authorized official
• Christina L. Willis, N.P.

  • Pediatric Nurse Practitioner
  • Brentwood, TN
  • NPI 1942241492
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1407425747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 BELLE RIVE DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275703",
            "telephone_number": "630-779-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FRANKLIN ROAD",
            "address_2": "SUITE 106",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275250",
            "telephone_number": "615-814-4500",
            "fax_number": "615-814-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD PEDIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SAUSER",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "630-779-6167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentwood Dermatology
• Brentwood Endodontics LLC
• Brentwood Family Dentists
• Brentwood MD LLC (Brentwood MD)
• Brentwood Neurology
• Brentwood Pediatric Dentistry Maryland Farms, PLLC
• Brentwood Pediatric Dentistry, LLC
• Brentwood Pediatrics PLLC
• Brentwood Pelvic Health
• Brentwood Primary Care

• Pediatrics Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.