Kelly Shawn Brauer, M.D.
Individual provider Active NPI Allergy & Immunology Physician · Owensboro, KY
NPI 1639376296 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1639376296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 41114 (KY)
- Practice address
- 2851 New Hartford Rd
Owensboro, KY 42303-1320 - Phone
- (270) 228-2811
- Fax
- (270) 228-2812
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- University of Kentucky College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Deaconess Clinic Inc
Practice addresses (Care Compare)
1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4570
Hospital & facility affiliations
- Owensboro Health Regional Hospital
- Deaconess Hospital Inc
- Baptist Health Deaconess Madisonville
- Methodist Hospital Union County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080725000584 | KY | Practitioner - Allergy/Immunology |
8224101035 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Current |
Accepting new patients | |
| Deaconess Clinic Inc | Current |
Accepting new patients | |
| Deaconess Clinic Inc | Current |
Accepting new patients | |
| Deaconess Hospital Inc | Current |
Accepting new patients | |
| Deaconess Clinic, Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc | Allergy & Immunology | Past | Accepting new patients |
Locations
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031
2851 New Hartford Rd
Owensboro, KY 42303
Phone (270) 215-3140
Interoperability endpoints
- kbrauer46571@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 41114 | KY | Yes |
Addresses
Primary practice location
2851 New Hartford Rd
Owensboro, KY 42303-1320
Mailing address
PO Box 631767
Cincinnati, OH 45263-1767
Phone (812) 450-6815
Other providers in Owensboro, KY
- Andrew Branson
- Amanda Jane Brasher-Ling
- Paul Bradley Brasher Jr.
- Meg Anne Bratcher
- Walter E Bratcher Sr.
- Clare A Braun Hashemi
- Carol Jean Braun
- Jacqueline Jill Braun
- Jennifer Erin Brenner
- Lori J Bretschneider
All providers in Owensboro, KY · Allergy & Immunology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.