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KELLEY BROSSY DO PC NPI 1316468275


NPI Information

NPI: 1316468275
Provider Name: KELLEY BROSSY DO PC
Classification: Orthopaedic Surgery - 207XX0801X
Entity Type: Organization

Specialization: Orthopaedic Trauma

Address:
21031 MICHIGAN AVE
DEARBORN, MI
ZIP 48124
Phone: (313) 277-6700
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KELLEY BROSSY DO PC is an orthopaedic trauma orthopaedic surgery in Dearborn, MI. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. KELLEY BROSSY DO PC NPI is 1316468275. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21031 MICHIGAN AVE
DEARBORN, MI
ZIP 48124-339
Phone: (313) 277-6700
Fax: (313) 216-0176

The provider's authorized official is Tricia L Adamen .
The authorized official title is Practice Manager and has the following contact phone number (313) 277-6700.

The enumeration date for this NPI number is 6/30/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0801XOrthopaedic SurgeryOrthopaedic Trauma5315073051MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.