BRYAN T KELLY (NPI# 1457386211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457386211 |
| Entity Type | Individual |
| Full Name | BRYAN T KELLY |
| Credential | MD |
| Practice Address |
535 E 70th St New York NY 10021-4823 |
| Mailing Address |
535 E 70th St New York NY 10021-4872 |
| Practice Telephone | 2126061159 |
| Practice Fax Number | 6467978865 |
| Mailing Telephone | 2126061159 |
| Mailing Fax Number | 6467978865 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 208586 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
208586 | NY | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
208586 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02201081 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174596357 | Bryan Robert Kelly | Psychologist | 3 Gray Birch Rd, East Sandwich, MA 02537-1457 | 2006-02-09 |
| 1215316336 | Bryan Kelly | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2015-05-21 |
| 1306285564 | Bryan Kelly | Physical Therapist | 3218 Daugherty Dr, Suite 160, Lafayette, IN 47909-3997 | 2013-06-21 |
| 1750678660 | Bryan Anthony Kelly | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2011-06-30 |
| 1013223031 | Bryan Laurence Kelly | Counselor | 971 Sw Walnut St, Hillsboro, OR 97123-5651 | 2010-08-27 |
| 1003921719 | Bryan David Kelly | Physical Therapist | 185 Route 312, Suite 301b, Brewster, NY 10509-2337 | 2006-08-20 |
| Street Address |
535 E 70TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263338 | Richard J Herzog | Radiology | 535 E 70th St, Division of Mri, New York, NY 10021-4872 | 2005-05-24 |
| 1700484052 | Edward A Athanasian Md PC | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2020-10-09 |
| 1770196156 | Ronald T Vales II | Nurse Practitioner | 535 E 70th St, New York, NY 10021-4898 | 2020-08-26 |
| 1184235897 | Jennifer T Mack | Nurse Practitioner | 535 E 70th St, New York, NY 10021-4823 | 2020-08-14 |
| 1053921841 | Dorothy Russo | Nurse Practitioner | 535 E 70th St, New York, NY 10021-4823 | 2020-08-06 |
| 1215553771 | Ichiro Okano | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4898 | 2020-06-22 |
| 1992320717 | Gwen Weinstock-zlotnick | Occupational Therapist | 535 E 70th St, New York, NY 10021-4823 | 2020-06-09 |
| 1275158958 | Devany Tiedeman | Physical Therapist | 535 E 70th St, New York, NY 10021-4823 | 2020-06-09 |
| 1255956082 | Aubrey Elstad | Physical Therapist | 535 E 70th St, New York, NY 10021-4898 | 2020-06-08 |
| 1922622703 | Hannah Mathys | Physical Therapist | 535 E 70th St, New York, NY 10021-4898 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609421122 | Mulchandani Medical Pllc | Orthopaedic Surgery | 139 Centre St Lbby Suite102, New York, NY 10013-4552 | 2019-08-02 |
| 1578046421 | Djf Orthopedics and Sports Medicine | Orthopaedic Surgery | 165 W End Ave Apt 28p, New York, NY 10023-5516 | 2018-09-06 |
| 1467872879 | Spencer Matthew Stein | Orthopaedic Surgery | 530 E 23rd St Apt 7f, New York, NY 10010-5030 | 2014-04-24 |
| 1235574435 | Stephanie Swensen Buza | Orthopaedic Surgery | 541 E 71st St, New York, NY 10021-4871 | 2013-05-02 |
| 1225271711 | J.l.glashow M.d.,p.c. | Orthopaedic Surgery | 737 Park Ave Ste 1c, New York, NY 10021-4256 | 2009-04-13 |
| 1255594230 | Alexis Chiang Colvin | Orthopaedic Surgery | 5 E. 98th St, Box 1188, New York, NY 10029 | 2008-07-09 |
| 1649354903 | Srino Bharam Md PC | Orthopaedic Surgery | 130 E. 77th St, 8 Fl Black Hall, New York, NY 10075 | 2006-10-24 |
| 1194816876 | Jerry Lubliner | Orthopaedic Surgery | 215 E 73rd St, Suite 3c, New York, NY 10021-3653 | 2006-09-27 |
| 1609834753 | Orrin Howard Sherman | Orthopaedic Surgery | 145 E. 32 Street, 4 Th Floor, New York, NY 10016-6055 | 2006-05-01 |
| 1275510182 | John Douglad Macgillivray | Orthopaedic Surgery | 523 E 72nd St, New York, NY 10021-4099 | 2005-12-30 |
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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.