MS. KELLY JO BRIGHAM (PA-C) – Physician Assistant, NPI 1184035735

MS. KELLY JO BRIGHAM (PA-C) is a healthcare provider. based in Fall river, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA5013 (MA). The NPI Number for MS. KELLY JO BRIGHAM (PA-C) is 1184035735

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLY JO BRIGHAM (PA-C)
NPI
1184035735
Phone
(508) 675-2266
Address
528 NEWTON ST
Enumeration Date
16 May 2014
Last Update Date
21 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088521805
Graduation Year
2012 (14 years ago)
PAC ID
8325367246
Group Practice PAC ID
3476512740
Professional Enrollment ID
I20150820011541
Address ID
MA016053516WO19XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for MS. KELLY JO BRIGHAM (PA-C)

  • 528 NEWTON ST

    FALL RIVER, MA 027212366

    Phone: (508) 675-2266

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150427002295IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02721)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476512740View full group profile
NameSpecialtyState
Internal Medicine, Addiction MedicineMA
P S Y C H I A T R YMA
Nurse PractitionerNH
-MA
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Family PracticeRI
Family PracticeMA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. KELLY JO BRIGHAM (PA-C)?
NPI 1184035735 is assigned to MS. KELLY JO BRIGHAM (PA-C) under the national enumeration system.
Is MS. KELLY JO BRIGHAM (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MS. KELLY JO BRIGHAM (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MS. KELLY JO BRIGHAM (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. KELLY JO BRIGHAM (PA-C)?
The page summarizes Fall River, Massachusetts for MS. KELLY JO BRIGHAM (PA-C); expand the address list for detail.
Is MS. KELLY JO BRIGHAM (PA-C) a real provider?
This page reflects official NPPES data for NPI 1184035735. Always confirm identity and privileges with the practice and licensing boards.

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