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DR. BRENNON H KELLY DC
NPI 1023511680
Chiropractor in Broussard, LA

Active since March 09, 2018
805 ALBERTSON PKWY STE B, BROUSSARD, LA 70518(337) 257-3253 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2019, Mar 17, 2018, Mar 9, 2018 (3 updates tracked since 2018).

About Dr. Brennon H Kelly Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENNON H KELLY DC (NPI 1023511680) is an individual chiropractor in Broussard, Louisiana, licensed in Louisiana (1820) and active in the NPI registry since March 2018. He is a graduate of Life Chiropractic College (2017).

NPPES Registry Identity

NPI1023511680
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRENNON H KELLYCredential: DC
Location Address805 ALBERTSON PKWY STE BBroussard, LA 70518-4350
Mailing Address805 Albertson Pkwy Ste BBroussard, LA 70518-4350 · (337) 257-3253
Phone(337) 257-3253
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2017
Enumeration DateMarch 9, 2018
Last NPPES UpdateApril 10, 20193 updates tracked since enumeration
✔ NPI 1023511680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in LA · 1820
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
805 ALBERTSON PKWY STE B, Broussard, LA 70518
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brennon H Kelly Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204178759
PECOS Enrollment IDI20190502000800

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
130 services16 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIGITTE LUQUETTE GIROUARD M.D.
Family Medicine
805 ALBERTSON PKWY STE B
BROUSSARD, LA 70518
Lafayette Parish (337) 837-2664
OUR LADY OF LOURDES PRIMARY CARE NETWORK
Family Medicine
805 ALBERTSON PKWY STE B
BROUSSARD, LA 70518
Lafayette Parish (337) 837-2664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brennon Kelly's NPI number?

The NPI number for Brennon Kelly is 1023511680. It was assigned to this individual provider in the NPPES registry on March 9, 2018.

Where is Brennon Kelly located?

Brennon Kelly practices at 805 Albertson Pkwy Ste B, Broussard, LA 70518. The listed phone number is (337) 257-3253.

What is Brennon Kelly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brennon Kelly enrolled in Medicare?

Yes. Brennon Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brennon Kelly was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.