BRIAN PATRICK KELLEY (NPI# 1366423527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366423527 |
| Entity Type | Individual |
| Full Name | BRIAN PATRICK KELLEY |
| Credential | DDS |
| Practice Address |
6923 W Becher St West Allis WI 53219-1353 |
| Practice Telephone | 4143210650 |
| Mailing Telephone | 4143210650 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5197-015 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BLUE CROSS/BLUE SHIELD | 397627370000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598027054 | Brian P Kelley | Licensed Practical Nurse | 98 Chapman Ave, Auburn, NY 13021-4632 | 2012-06-11 |
| 1265706949 | Brian Edward Kelley | Social Worker | 139-141 North St., Suite 303, Pittsfield, MA 01201 | 2012-02-28 |
| 1770866261 | Brian Thomas Kelley | Pharmacist | 1380 S Appomattox Ave, Republic, MO 65738-7802 | 2011-09-21 |
| 1326352022 | Brian L Kelley | Pharmacist | 970 N Main Rd, Vineland, NJ 08360-8266 | 2010-08-05 |
| 1821165465 | Brian Kelley | Chiropractor | 6096 Se Federal Hwy, Stuart, FL 34997-8101 | 2006-11-29 |
| 1811994205 | Brian Scott Kelley | Chiropractor | 1503 Larson St, Bloomer, WI 54724-1632 | 2005-06-30 |
| 1003811407 | Brian Kelley | Obstetrics & Gynecology | 7500 Hospital Dr, Dublin, OH 43016-8518 | 2005-06-14 |
| 1194213785 | Brian Kelley | Student in an Organized Health Care Education/Training Program | 102 Mason Farm Rd, Chapel Hill, NC 27599-6134 | 2018-04-29 |
| 1063958395 | Brian R Kelley | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2017-01-10 |
| 1891147336 | Brian Kelley | Nurse Practitioner | 300 Flynn Ave, Burlington, VT 05401-5301 | 2016-07-08 |
| Street Address |
6923 W BECHER ST |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53219-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1174052344 | Adam Blaha | Physical Therapy Assistant | 2622 South 66th Street, Milwaukee, WI 53219 | 2017-06-09 |
| 1700281920 | Mary Beth Menarek | Counselor | 6574 W. Beloit Road, West Allis, WI 53219 | 2014-10-30 |
| 1780959767 | James Stanley Ziolkowski | Electrodiagnostic Medicine | 9330 W. Lincln Ave, West Allis, WI 53219 | 2012-03-09 |
| 1568752707 | Carey M Kromarek | Social Worker | 5757 W. Oklahoma Ave, Suite 203, Milwaukee, WI 53219 | 2011-04-08 |
| 1275834988 | Debra L Felzer | Registered Nurse | 7123 W Stuth Place, West Allis, WI 53219 | 2010-11-11 |
| 1528290327 | Miguel Angel Bautista | Acupuncturist | 4318 W. Foresthowe Ave., Milwaukee, WI 53219 | 2009-08-13 |
| 1629211487 | Ruth Irene Young | Physical Therapy Assistant | 2027 S. 79th Street, West Allis, WI 53219 | 2009-04-09 |
| 1053591818 | Linda St. Louis | Nurse Practitioner | 6030 W. Oklahoma Avenue, Milwaukee, WI 53219 | 2007-11-09 |
| 1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
| Find all providers in zip 53219 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427463199 | Advanced Dental | Dentist | 6425 W Greenfield Ave, West Allis, WI 53214-4939 | 2014-06-21 |
| 1760538490 | Wisconsin Oral Surgery and Dental Implants Sc | Dentist | 10401 W Lincoln Ave, Suite 101, West Allis, WI 53227-1255 | 2007-01-26 |
| 1649350398 | Anthony L Ragonese | Dentist | 10401 W Lincoln Ave, Suite 101 Oral Surgery Associates of Se Wisconsin, West Allis, WI 53227-1255 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569783 | Greater Milwaukee Oral Surgery, L.L.C. | Dentist | 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 | 2018-08-27 |
| 1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
| 1477065787 | Central Wisconsin Oral and Facial Surgery, LLC | Dentist | 438 Edison St, Antigo, WI 54409-1845 | 2017-10-26 |
| 1497266910 | Donald Ervin Linneman | Dentist | Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036 | 2017-10-24 |
| 1063869485 | Tyler Kalmuck | Dentist | 3637 Wilgus Ave, Sheboygan, WI 53081-3050 | 2016-05-16 |
| 1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
| 1073930459 | Paul Pamula | Dentist | 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 | 2014-03-24 |
| 1326473927 | Lake Geneva Dental Care, LLC | Dentist | 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 | 2013-09-13 |
| 1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
| 1922364363 | Ell Louis Lee | Dentist | 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.