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BRIAN W KELLY MD PC NPI 1407030760


NPI Information

NPI: 1407030760
Provider Name: BRIAN W KELLY MD PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
545 SE OAK ST
SUITE F
HILLSBORO, OR
ZIP 97123
Phone: (503) 640-5950
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BRIAN W KELLY MD PC is a pulmonary disease internal medicine in Hillsboro, OR. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. BRIAN W KELLY MD PC NPI is 1407030760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

545 SE OAK ST
SUITE F
HILLSBORO, OR
ZIP 97123-147
Phone: (503) 640-5950
Fax: (503) 648-3140

The provider's authorized official is Joanne Elaine Johnson .
The authorized official title is Accounts Receivable Bookkeeper and has the following contact phone number (503) 640-5950.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 2/12/2010.


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
1207RP1001XInternal MedicinePulmonary DiseaseMD10756OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DG4207OTHEROREGONGBA RAILROAD MEDICARE
2R0000WCJCVMEDICARE PINOREGON
3213070MEDICAIDOREGON

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

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