DR. BRIAN PATRICK KELLEY DO
NPI 1255910360
Student in an Organized Health Care Education/Training Program in Milwaukee, WI
NPI Status: Active since April 06, 2021
Contact Information
9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 955-0623
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About BRIAN KELLEY
This page provides the complete NPI Profile along with additional information for Brian Kelley, a primary care provider established in Milwaukee, Wisconsin with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1255910360 assigned on April 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1255910360
- Provider Name
- DR. BRIAN PATRICK KELLEY DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9200 W WISCONSIN AVE MILWAUKEE, WI 53226
- Location Phone
- (414) 955-0623
- Mailing Address
- 9200 W WISCONSIN AVE MILWAUKEE, WI 53226
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-06-2021
- Last Update Date
- 04-06-2021
- Code Navigator
A primary care provider (PCP) like Brian Kelley sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Brian Kelley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 9 | 1 | 0 | 3 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 18 | 1 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 8 + 1 + 0 + 3 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255910360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306848189 | PAUL WINDISCH PHARM.D. Individual | Pharmacist | 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 805-2628 |
| 1497743322 | MISS BARBARA SZLENDAKOVA M.S. Individual | Genetic Counselor, MS | 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 805-9104 |
| 1578540720 | MR. ERIN WILLIAM POOLE CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1417935016 | MS. DEBRA J. POLIAK CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1508844291 | MR. SCOTT A. KUNKEL CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1366412678 | MS. KATHLEEN M. SNEIDER CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1073583381 | MR. EDWIN PATT JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 9200 W WISCONSIN AVE PATIENT FINANCIAL SERVICES MILWAUKEE, WI 53226 (414) 777-0376 |
| 1811968670 | AMY SWANSON M.S., C.G.C. Individual | Genetic Counselor, MS | 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 805-9018 |
| 1811969843 | DR. KEVIN R. REGNER M.D. Individual | Internal Medicine (Nephrology) | 9200 W WISCONSIN AVE DIVISION OF NEPHROLOGY MILWAUKEE, WI 53226 (414) 456-4755 |
| 1033182175 | DR. THOMAS CLARK GAMBLIN M.D. Individual | Surgery (Surgical Oncology) | 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 805-5020 |
| 1740231802 | DR. JILL C COSTELLO MD Individual | Internal Medicine (Rheumatology) | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - EAST MILWAUKEE, WI 53226 (414) 805-3666 |
| 1003867169 | DR. DWIGHT P CRUIKSHANK MD Individual | Obstetrics & Gynecology | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - EAST MILWAUKEE, WI 53226 (414) 805-3666 |
| 1295786341 | MS. SHANNON N COAKLEY PA Individual | Physician Assistant | 9200 W WISCONSIN AVE HOSPITAL BASED @ FROEDTERT HOSP. MILWAUKEE, WI 53226 (414) 805-3666 |
| 1215988290 | DR. KULWINDER S DUA MD Individual | Internal Medicine (Gastroenterology) | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - WEST MILWAUKEE, WI 53226 (414) 805-3666 |
| 1013968197 | DR. MOHAMMED S DHAMEE MD Individual | Anesthesiology | 9200 W WISCONSIN AVE HOSPITAL BASED @ FROEDTERT HOSP. MILWAUKEE, WI 53226 (414) 805-3666 |
| 1932150778 | MS. KATHRYN R JOHNSON PA-C Individual | Physician Assistant (Medical) | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - EAST MILWAUKEE, WI 53226 (414) 955-6845 |
| 1033160965 | DR. WILLIAM DENNIS FOLEY MD Individual | Radiology (Diagnostic Radiology) | 9200 W WISCONSIN AVE DEPARTMENT OF RADIOLOGY MILWAUKEE, WI 53226 (414) 805-3700 |
| 1891746756 | DR. THOMAS A GENNARELLI MD Individual | Neurological Surgery | 9200 W WISCONSIN AVE FROEDTERT & MED COLLEGE CLIN - WEST MILWAUKEE, WI 53226 (414) 805-3666 |
| 1376594127 | DR. PETER M LAYDE MD Individual | Family Medicine | 9200 W WISCONSIN AVE FAMILY MEDICINE PRIMARY CARE 4TH FL MILWAUKEE, WI 53226 (414) 805-3666 |
| 1295786044 | DR. ROBERT R LESCHKE MD Individual | Emergency Medicine | 9200 W WISCONSIN AVE HOSPITAL BASED @ FROEDTERT HOSP. MILWAUKEE, WI 53226 (414) 805-3666 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255910360, enumerated in the NPI registry as an "individual" on April 06, 2021
The provider is located at 9200 W Wisconsin Ave Milwaukee, Wi 53226 and the phone number is (414) 955-0623
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 06, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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