Individual provider Active NPI

Brian P Kelley, MD

  • Plastic and Reconstructive Surgery Physician
  • Kyle, TX
National Provider Identifier
1992092449
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
R8222 Issued in TX
Practice address
1180 Seton Pkwy Ste 150
Kyle, TX 78640
Phone
(512) 324-8320
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X R8222 TX
Student in an Organized Health Care Education/Training Program 390200000X 4301099164 MI
Plastic and Reconstructive Surgery Physician 2086S0122X R8222 TX Primary

Addresses

Primary practice location

1180 Seton Pkwy Ste 150
Kyle, TX 78640

Mailing address

1601 Trinity St Stop 704
Austin, TX 78712-1865
Phone (512) 324-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20181119000486 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0143459974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Baylor College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

Hospital & facility affiliations

  • Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124
  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision36
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Current Accepting new patients
Seton Family of Doctors CurrentSince Aug 27, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Aug 27, 2018 Accepting new patients

Locations

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

1601 Trinity St
Stop 704
Austin, TX 78712
Phone (512) 324-8300

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6811 Austin Center Blvd
Ste 420
Austin, TX 78731
Phone (512) 324-2715

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1180 Seton Pkwy
Ste 150
Kyle, TX 78640
Phone (512) 358-9428

Interoperability endpoints

  • Direct secure messaging: brian.kelley.1@8363.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1992092449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST STOP 704",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121865",
            "telephone_number": "512-324-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY STE 150",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-324-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BRIAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "R8222",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301099164",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "R8222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.