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

Q: What is Brian Kelly's NPI number?

The NPI number for Brian Kelly is 1275550717. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Brian Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Kelly was last updated on March 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

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: August 16, 2026.

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About Dr. Brian J. Kelly M.d. NPPES

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

DR. BRIAN J. KELLY M.D. (NPI 1275550717) is an individual pediatrics provider in Maryland Heights, Missouri, licensed in Missouri (105182) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1275550717

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. BRIAN J. KELLYCredential: M.D.

Location Address11365 DORSETT RD.Maryland Heights, MO 63043

Mailing Address11365 Dorsett Rd.Maryland Heights, MO 63043 · (314) 872-6430 · Fax (314) 872-6500

Phone(314) 872-6430

Fax(314) 872-6500

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateMarch 26, 2009

✔ NPI 1275550717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 105182

Definition

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.

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 105182 (MO)

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 105182 (MO)

11365 DORSETT RD., Maryland Heights, MO 63043

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Other Identifiers 5

Medicare PIN171010381

Medicare PIN370019085

Medicare UPING92959

Medicaid036057823IL

Medicaid207674029MO

Other Providers at the Same Location NPPES 8

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

AMY C. ZIMMERMANN M.D.

Physical Medicine & Rehabilitation

11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043

St. Louis County (314) 872-6430

DR. LYNDA M BRADY M.D.

Specialist

11365 DORSETT RD.
MARYLAND HEIGHTS, MD 63043

St. Louis County (314) 872-6400

EUGENE EVRA M.D.

Physical Medicine & Rehabilitation

11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043

St. Louis County (314) 872-6430

CONNIE D SIMMONS M.D.

Pediatrics

11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043

St. Louis County (314) 872-6430

RACHAEL LISA JUEHRING PHD

Psychologist (Clinical)

11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043

St. Louis County (314) 872-6400

MS. ELIZABETH R DOWNEY

Nurse Practitioner (Pediatrics)

11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043

St. Louis County (314) 872-6430

ROD EVAN PELLENBERG M.D.

Pediatrics (Pediatric Cardiology)

11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043

St. Louis County (314) 872-6400

MRS. MITZIE E GRAELER RN, CPNP

General Acute Care Hospital

11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043

St. Louis County (314) 872-6400

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 Brian Kelly's NPI number?

The NPI number for Brian Kelly is 1275550717. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Brian Kelly located?

Brian Kelly practices at 11365 Dorsett Rd., Maryland Heights, MO 63043. The listed phone number is (314) 872-6430.

What is Brian Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Brian Kelly was last updated on March 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.