BRIAN J. KELLY M.D. – NPI #1275550717
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BRIAN KELLY is a physician located in MARYLAND HEIGHTS, MO. NPPES has assigned the NPI number 1275550717 to BRIAN KELLY on July 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 17 years ago on Mar 26, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIAN KELLY below.

NPI Profile for
BRIAN J. KELLY

NPI Number
1275550717
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRIAN J. KELLY
Credentials
M.D.
Primary location
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
Phone: (314) 872-6430 Fax: (314) 872-6500
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRIAN KELLY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036057823
MEDICAIDMO207674029
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MO 105182
2080P0204X
- Pediatrics / Pediatric Emergency Medicine
MO 105182
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine
MO 105182

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.