DR. BRIAN J. KELLY M.D.
NPI 1275550717
Pediatrics in Maryland Heights, MO

Active since July 17, 2006
11365 DORSETT RD., MARYLAND HEIGHTS, MO 63043(314) 872-6430(314) 872-6500 Get Directions Write a Review

NPPES record last updated: March 26, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Pediatrics

About BRIAN KELLY

This page provides the complete NPI Profile along with additional information for Brian Kelly, a pediatrician established in Maryland Heights, Missouri with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1275550717 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 105182 (MO). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1275550717 Verify this NPI
Provider Name
DR. BRIAN J. KELLY M.D.
Gender
Male
Entity Type
Individual
Location Address
11365 DORSETT RD. MARYLAND HEIGHTS, MO 63043
Location Phone
(314) 872-6430
Location Fax
(314) 872-6500
Mailing Address
11365 DORSETT RD. MARYLAND HEIGHTS, MO 63043
Mailing Phone
(314) 872-6430
Mailing Fax
(314) 872-6500
Is Sole Proprietor?
No
Enumeration Date
07-17-2006
Last Update Date
03-26-2009
Code Navigator

A pediatrician like Brian Kelly is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
105182
License State
MO
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080N0001XAllopathic & Osteopathic Physicians

Pediatrics
Neonatal-Perinatal Medicine

105182 (MO)
22080P0204XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Emergency Medicine

105182 (MO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
171010381MEDICARE PIN (08) 
370019085MEDICARE PIN (08) 
G92959MEDICARE UPIN (02) 
036057823MEDICAID (05)IL 
207674029MEDICAID (05)MO 

Reviews for DR. BRIAN J. KELLY M.D.

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Pediatrics
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
Nurse Practitioner (Pediatrics)
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
Physical Medicine & Rehabilitation
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
Physical Medicine & Rehabilitation
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
Psychologist (Clinical)
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
General Acute Care Hospital
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
Pediatrics (Pediatric Cardiology)
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
Specialist
11365 DORSETT RD.
MARYLAND HEIGHTS, MD 63043

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275550717, enumerated as an "individual" on July 17, 2006.

The provider is located at 11365 DORSETT RD. MARYLAND HEIGHTS, MO 63043 and the phone number is (314) 872-6430.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.