Brett Lee Kelley

Primary specialty

ParamedicTaxonomy code 146L00000X

License

0500943 Issued in 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

Last updated

Feb 25, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Alabama Specialty Care Transport LLC

  • Land Ambulance
  • Moulton, AL
  • NPI 1831845700
  NPD Authorized official

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1972259174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356500772",
            "telephone_number": "256-341-7676",
            "fax_number": "855-326-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13414 AL HIGHWAY 157 STE B",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356503704",
            "telephone_number": "256-341-7676",
            "fax_number": "855-326-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BRETT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AL",
            "license": "0500943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alabamaspecialtycaretransport@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "13414 Al Highway 157 Ste B",
            "city": "Moulton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356503704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Lee Johnson, MA
• Charles David Joiner Jr., PHARMACIST
• Michael Hunter Jones, PHARMD
• Miranda L Jordan, MS
• Tammy Keenum, LPN
• Kari Kirby, CRNP
• Adeniyi Faruk Koiki, M.D.
• Rebecca Lackey
• Lakeshore Pediatrics PC
• Lakeshore Pediatrics PC

• Paramedic in Moulton, AL
• Providers in Moulton, AL by specialty
• Paramedic in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.