R. Bruce Kelly, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

25339 Issued in NC

Practice address

932 Old Hwy 70 West
Black Mountain, NC 28711

Phone

(828) 669-3218

Fax

(828) 669-3229

NPI assigned

Feb 1, 2007

Last updated

Apr 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1932247079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HILLENDALE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051749",
            "telephone_number": "828-259-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 OLD HWY 70 WEST",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "28711",
            "telephone_number": "828-669-3218",
            "fax_number": "828-669-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "R.",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "25339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian F. Keith Alcohol & Drug Abuse Treatment Center
• Melissa Stewart Kale, LCMHC
• Michael Shane Kamer, D.C.
• Katherine E Milam Better View Family Eye Care
• Carol H Kaufman, MD
• Rachel Kelly, LCAS-A, LCMHC-A
• Cody Kenly, DPT
• Michael Steven Kirtley Jr., LCMHC, LCAS
• Mark Andrew Kleive, DDS
• Susan Kostenko, M.D.

• Adult Medicine Physician in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Adult Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.