DR. BRIAN J KELLY (M.D.) – Emergency Medicine Physician, NPI 1790735066

DR. BRIAN J KELLY (M.D.) is a healthcare provider. based in Wrentham, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 80094 (MA). The NPI Number for DR. BRIAN J KELLY (M.D.) is 1790735066

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN J KELLY (M.D.)
NPI
1790735066
Phone
(508) 236-7046
Address
15 MISCOE BROOK DR
Enumeration Date
10 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
5082367901
Graduation Year
1985 (41 years ago)
PAC ID
0547203473
Group Practice PAC ID
9537152806
Professional Enrollment ID
I20050602000264
Address ID
MA027033143AT211XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

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Provider Addresses for DR. BRIAN J KELLY (M.D.)

  • 15, Miscoe Brook Drive, Wrentham, Norfolk County, Massachusetts, United States

    WRENTHAM, MA 020931840

    Phone: (508) 236-7046

    Type: Mailing

  • Sturdy Memorial Hospital, 211, Park Street, Attleboro, Bristol County, Massachusetts, 02703, United States

    ATTLEBORO, MA 027033143

    Phone: (508) 236-7046

    Type: Location

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: 2005-06-02

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
I20050602000264IEmergency MedicineMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71046X-ray of chest, 2 views427381$0
99213Established patient office or other outpatient visit, 20-29 minutes334309$0
99214Established patient office or other outpatient visit, 30-39 minutes7067$0
73630X-ray of foot, minimum of 3 views6261$0
73562X-ray of knee, 3 views6155$0
View full utilization report →

Insurance plans in this area (ZIP 02093)

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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: 9537152806View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineRI
Internal MedicineRI
Nurse PractitionerMA
H E M A T O L O G Y/ O N C O L O G YMA
Physician AssistantMA
Nurse PractitionerMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YRI
Family Practice, Internal MedicineMA
-MA

Reviews

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Frequently asked questions

How is DR. BRIAN J KELLY (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BRIAN J KELLY (M.D.) with NPI 1790735066.
Is DR. BRIAN J KELLY (M.D.) still practicing?
DR. BRIAN J KELLY (M.D.) is currently listed as active in the public NPI registry.
What is DR. BRIAN J KELLY (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. BRIAN J KELLY (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BRIAN J KELLY (M.D.) on a map?
Expect Wrentham, Massachusetts as a primary anchor for DR. BRIAN J KELLY (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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