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BRIDGET KELLY DO
NPI 1629870605
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Active since March 27, 2025PECOS Enrolled
1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Bridget Kelly Do NPPES

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

BRIDGET KELLY DO (NPI 1629870605) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629870605
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRIDGET KELLYCredential: DO
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-1000
Mailing Address1 Medical Center DrLebanon, NH 03756-1000 · (603) 650-5000
Phone(603) 650-5000
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1629870605 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
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.
1 MEDICAL CENTER DR, Lebanon, NH 03756
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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)

Bridget Kelly Do 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.

MRS. JANICE M BRENNAN APRN
Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Grafton County (603) 560-5000
MS. SHELLEY GRACE BENSON R.PH.
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5417
ELIAS LOUKAS M.D.
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Grafton County (603) 650-8380
SARAH S SEO MD
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Grafton County (603) 650-8123
DR. SRINIVAS J. IVATURY MD
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Grafton County (603) 650-8113
TIMOTHY EARLEY D.O.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (201) 694-0663
HANNAH ELIZABETH FOOTE BENSIMHON M.D.
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000
EMILE JOSEPH HASAN M.D.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000

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 Bridget Kelly's NPI number?

The NPI number for Bridget Kelly is 1629870605. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Bridget Kelly located?

Bridget Kelly practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Bridget Kelly's specialty?

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

Is Bridget Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bridget Kelly was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.