Edwin L Kelsey, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

16871 Issued in AL

Practice address

801 Princeton Ave SW
Pob I Suite 201
Birmingham, AL 35211-1310

Phone

(205) 783-7705

Fax

(205) 352-4433

NPI assigned

Jul 6, 2005

Last updated

Oct 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Birmingham Pain Management & Rehabilitation Centers, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Birmingham, AL
  • NPI 1841352929
  Authorized official Same address or phone
• Pain and Rehabilitation Center Inc

  dba Pain and Rehabilitation Institute

  • Mental Health Counselor
  • Hoover, AL
  • NPI 1518065994
  NPD
• Southeast Rehab Medicine Inc

  • Physical Medicine & Rehabilitation Physician
  • Birmingham, AL
  • NPI 1609986082
  NPD (past)
• Steven M. Sokell, DPM, PC

  • Primary Podiatric Medicine Podiatrist
  • Birmingham, AL
  • NPI 1306965066
  NPD (past)

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1932106895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "POB I SUITE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-783-7705",
            "fax_number": "205-352-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "POB I SUITE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-783-7705",
            "fax_number": "205-352-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "EDWIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "16871",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": "16871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529914300",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1841352929",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dionne Kelly, MSN, CRNP
• Matthew Kelly
• Shaunda Elyse Kelly, MD, DMD
• Stephen J Kelly, MD
• Daniel Kelmenson
• Barbara Winter Kelsoe, PT
• Norman Keltner
• Venugopal Naik Keluth Chavan, MD
• Dwight Kemp
• Elizabeth A Kemp, PHD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.