Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EOIN C KELLY PA
NPI 1336441278
Physician Assistant - Medical in Brockton, MA

Q: What is Eoin Kelly's NPI number?

The NPI number for Eoin Kelly is 1336441278. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Q: What is Eoin Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Eoin Kelly was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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 November 29, 2010PECOS Enrolled

680 CENTRE ST, BROCKTON, MA 02302(508) 941-7000(508) 941-6299 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Eoin C Kelly Pa NPPES

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

EOIN C KELLY PA (NPI 1336441278) is an individual medical provider in Brockton, Massachusetts, licensed in Massachusetts (4087) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Weymouth.

NPPES Registry Identity

NPI1336441278

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameEOIN C KELLYCredential: PA

Location Address680 CENTRE STBrockton, MA 02302-3308

Mailing Address680 Centre StBrockton, MA 02302-3308 · (508) 941-7000 · Fax (508) 941-6299

Phone(508) 941-7000

Fax(508) 941-6299

Sole ProprietorNo

Enumeration DateNovember 29, 2010

Last NPPES UpdateJune 17, 2026

NPPES CertifiedJune 17, 2026

✔ NPI 1336441278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MA · 4087

680 CENTRE ST, Brockton, MA 02302

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Secondary Practice Location 1

Location 155 Fogg RdWeymouth, MA 02190-2432 · Phone (781) 624-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eoin C Kelly Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$12.16 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$60.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

LOUIS D. GOTTLIEB M.D.

Internal Medicine

680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302

Plymouth County (508) 941-7065

MS. JAMIE CHYAT PA-C

Physician Assistant

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7000

BRANDEN M TURNER LMHC

Counselor (Mental Health)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

CARLY ALEXANDRA CARLIN MD

Psychiatry & Neurology (Psychiatry)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

DR. ANGEL TAYLOR MD

Student in an Organized Health Care Education/Training Program

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 974-7000

DR. DESIREE A CARLSON MD

Pathology (Anatomic Pathology & Clinical Pathology)

680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302

Plymouth County (508) 941-7414

DEMIN MA M.D.

Psychiatry & Neurology (Psychiatry)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

JENNIFER L. BUNKER

Social Worker

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7268

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 Eoin Kelly's NPI number?

The NPI number for Eoin Kelly is 1336441278. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Where is Eoin Kelly located?

Eoin Kelly practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7000.

What is Eoin Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Eoin Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Eoin Kelly was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.