Brett Lee Kelley
Individual provider Active NPI Paramedic · Moulton, AL
NPI 1972259174 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1972259174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- 0500943 (AL)
- Practice address
- 13414 Al Highway 157 Ste B
Moulton, AL 35650-3704 - Phone
- (256) 341-7676
- Fax
- (855) 326-1353
- NPI assigned
- Feb 25, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0500943 | AL | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Specialty Care Transport LLC | Current |
Accepting new patients |
Locations
13414 AL Highway 157
Ste B
Moulton, AL 35650
Phone (256) 341-7676
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 0500943 | AL | Yes |
Addresses
Primary practice location
13414 Al Highway 157 Ste B
Moulton, AL 35650-3704
Mailing address
PO Box 772
Moulton, AL 35650-0772
Phone (256) 341-7676
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | alabamaspecialtycaretransport@gmail.com | Health Information Exchange (HIE) |
Other providers in Moulton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.