NPIMap

Individual provider Active NPI

Brendan Patrick Kelley, M.D.

  • Neuroradiology Physician
  • Greenville, NC
National Provider Identifier
1467794701
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
2020-00532 Issued in NC
Practice address
2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758
Phone
(617) 726-8323
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 2020-00532 NC Primary

Addresses

Primary practice location

2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758

Mailing address

PO Box 30750
Greenville, NC 27833-0750
Phone (252) 931-7638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200507002309 NC Practitioner - Diagnostic Radiology 0345472015 Reassigns benefits to 3 organizations
I20260610002071 NJ Practitioner - Diagnostic Radiology 0345472015 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Radiologists IncGroup PAC ID 2466355383, 92 clinicians
East Carolina UniversityGroup PAC ID 0244143246, shared by 3 NPIs, 499 clinicians

Practice addresses (Care Compare)

2101 W Arlington Blvd
Suite 110
Greenville, NC 27834-5758
Phone (252) 752-5000

402 Bowman Gray Dr
Greenville, NC 27834-7209
Phone (252) 752-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00532NCMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Radiologists Inc Neuroradiology CurrentSince Jul 1, 2020 Accepting new patients
East Carolina University CurrentSince Nov 15, 2022 Accepting new patients
East Carolina University Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
East Carolina University Current Accepting new patients
Eastern Radiologists, Inc Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients

Locations

2101 W Arlington Blvd
Ste 210
Greenville, NC 27834
Phone (252) 931-7638

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

402 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 744-9490

2101 W Arlington Blvd
Ste 110
Greenville, NC 27834

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

630 E 11th St
Washington, NC 27889
Phone (252) 946-2137

Interoperability endpoints

  • Direct secure messaging: bkelley301247@direct.ecuhealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1467794701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30750",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330750",
            "telephone_number": "252-931-7638",
            "fax_number": "252-931-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W ARLINGTON BLVD STE 210",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345758",
            "telephone_number": "617-726-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BRENDAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "2020-00532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.