Kelly W Lobb MD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

K8939 Issued in TX

Legal business name

KELLY W LOBB MD PA

Practice address

1600 Joseph Dr
Bryan, TX 77802-1502

Phone

(979) 821-7527

Fax

(979) 821-7528

NPI assigned

Dec 5, 2006

Last updated

Dec 13, 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. Kelly Wendell Lobb, M.D.NPI 1528038858

Title

Physician

Phone

(979) 821-7527

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Kelly W Lobb, MD

  • Physical Medicine & Rehabilitation Physician
  • Bryan, TX
  • NPI 1528038858
  Medicare reassignment Authorized official
• Kasey Lobb, MS, RD, LD

  • Registered Dietitian
  • Bryan, TX
  • NPI 1902150048
  Medicare reassignment
• Brittany Long Lovelace, PA - C

  • Medical Physician Assistant
  • Prosperity, SC
  • NPI 1720363773
  NPD (past)
• Kristin West, RD LDN

  • Registered Dietitian
  • Baton Rouge, LA
  • NPI 1831443845
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1851459457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JOSEPH DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021502",
            "telephone_number": "979-821-7527",
            "fax_number": "979-821-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JOSEPH DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021502",
            "telephone_number": "979-821-7527",
            "fax_number": "979-821-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY W LOBB MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "LOBB",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "979-821-7527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K8939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211321901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity A Karpac, MD
• Allison Brooke Katchinska
• Mindi Greene Kavanaugh, OD
• Cheriece Kananimaeole Keawe
• Susan Deanne Kelley, M.A., CCC-SLP
• Shauna Kelly, PT
• Shannon Kelsey, NP-C
• Paige Kenjura
• John Kent Jr., CSA
• Deborah B Kerr, MED, LPC, NCC

• Physical Medicine & Rehabilitation Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.