BRANDON KELLY
NPI 1568845386
Student in an Organized Health Care Education/Training Program in Waterville, ME

Q: What is Brandon Kelly's NPI number?

The NPI number for Brandon Kelly is 1568845386. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Q: What is Brandon Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Kelly was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 30, 2015PECOS Enrolled

149 NORTH ST, WATERVILLE, ME 04901(207) 861-5000(207) 861-5001 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Brandon Kelly NPPES

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

BRANDON KELLY (NPI 1568845386) is an individual student in an organized health care education/training program in Waterville, Maine, licensed in Maine (EC151059) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568845386

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRANDON KELLY

Location Address149 NORTH STWaterville, ME 04901-4974

Mailing Address149 North StWaterville, ME 04901-4974 · (207) 861-5000 · Fax (207) 861-5001

Phone(207) 861-5000

Fax(207) 861-5001

Sole ProprietorNo

Enumeration DateJune 30, 2015

Last NPPES UpdateAugust 3, 2015

✔ NPI 1568845386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in ME · EC151059

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

149 NORTH ST, Waterville, ME 04901

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Kelly 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.

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.

CATHERINE BATZ DO

Family Medicine