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: July 19, 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
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

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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Chiropractic manipulative treatment, 1-2 spinal regions

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.

This service was performed 130 times for 16 patients

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
805 ALBERTSON PKWY STE B
BROUSSARD, LA 70518
Family Medicine
805 ALBERTSON PKWY STE B
BROUSSARD, LA 70518

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023511680, enumerated as an "individual" on March 09, 2018.

The provider is located at 805 ALBERTSON PKWY STE B BROUSSARD, LA 70518 and the phone number is (337) 257-3253.

Chiropractor with taxonomy code 111N00000X.