Organization Active NPI

Kellett, Brophy & Lovell Neurosurgical Clinic

  • Neurological Surgery Physician
  • Memphis, TN
National Provider Identifier
1710190582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
KELLETT, BROPHY & LOVELL NEUROSURGICAL CLINIC
Practice address
1325 Eastmoreland Ave Ste 370
Memphis, TN 38104-7542
Phone
(901) 726-5300
Fax
(901) 726-9053
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John David Brophy, M.D.NPI 1013930296
Title
President
Phone
(901) 726-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1325 Eastmoreland Ave Ste 370
Memphis, TN 38104-7542

Mailing address

1325 Eastmoreland Ave Ste 370
Memphis, TN 38104-7542
Phone (901) 726-5300

National Provider Directory

National Provider Directory

Locations

7705 Poplar Ave
Ste 125
Germantown, TN 38138
Phone (901) 516-6353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710190582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 370",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047542",
            "telephone_number": "901-726-5300",
            "fax_number": "901-726-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 370",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047542",
            "telephone_number": "901-726-5300",
            "fax_number": "901-726-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLETT, BROPHY & LOVELL NEUROSURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROPHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-726-5300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.