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KELLEY BROSSY DO PC
NPI 1316468275
Orthopaedic Surgery - Orthopaedic Trauma in Dearborn, MI

Active since June 30, 2017
21031 MICHIGAN AVE, DEARBORN, MI 48124(313) 277-6700(313) 216-0176 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 30, 2017 (2 updates tracked since 2017).

About Kelley Brossy Do Pc NPPES

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

KELLEY BROSSY DO PC (NPI 1316468275) is a healthcare organization registered as an orthopaedic trauma in Dearborn, Michigan and active in the NPI registry since June 2017. The organization lists Tricia L Adamen, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1316468275
Entity TypeOrganization
Primary Taxonomy207XX0801X
Legal Business NameKELLEY BROSSY DO PC
Location Address21031 MICHIGAN AVEDearborn, MI 48124-2339
Mailing Address21031 Michigan AveDearborn, MI 48124-2339 · (313) 277-6700 · Fax (313) 216-0176
Phone(313) 277-6700
Fax(313) 216-0176
Organization SubpartNo
Authorized OfficialTricia L AdamenPractice Manager · (313) 277-6700
Enumeration DateJune 30, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1316468275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License✔ Licensed in MI · 5315073051
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
21031 MICHIGAN AVE, Dearborn, MI 48124
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Brossy Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kelley Brossy Do PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kelley Brossy, D.O.
Orthopedic Surgery
NPI 1235423708
21031 MICHIGAN AVE
Dearborn, MI 48124
(313) 277-6700
✔ PECOS✔ Accepts MedicareSame address
Jacquelyn Murphy, AGACNP
Nurse Practitioner
NPI 1710611470
61 KNOLLWOOD BLVD
Clawson, MI 48017
(248) 872-5930
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kelley Brossy Do PC's NPI number?

The NPI number for Kelley Brossy Do PC is 1316468275. It was assigned to this organization in the NPPES registry on June 30, 2017.

Where is Kelley Brossy Do PC located?

Kelley Brossy Do PC is located at 21031 Michigan Ave, Dearborn, MI 48124. The listed phone number is (313) 277-6700.

What is Kelley Brossy Do PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Kelley Brossy Do PC enrolled in Medicare?

Yes. Kelley Brossy Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelley Brossy Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kelley Brossy Do PC, in Nurse Practitioner and Orthopedic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kelley Brossy Do PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Kelley Brossy Do PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelley Brossy Do PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.