DR. BRIAN SCOTT KELLEY DC
NPI 1811994205
Chiropractor - Sports Physician in Bloomer, WI

Active since June 30, 2005Accepts Medicare Assignment
1503 LARSON ST, BLOOMER, WI 54724(715) 568-4220(715) 568-4201 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Scott Kelley Dc NPPES

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

DR. BRIAN SCOTT KELLEY DC (NPI 1811994205) is an individual sports physician in Bloomer, Wisconsin, licensed in Wisconsin (2014-012) and active in the NPI registry since June 2005. He is a graduate of Northwestern College Of Chiropractic (1985).

NPPES Registry Identity

NPI1811994205
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. BRIAN SCOTT KELLEYCredential: DC
Location Address1503 LARSON STBloomer, WI 54724-1632
Mailing Address1503 Larson StBloomer, WI 54724-1632 · (715) 568-4220 · Fax (715) 568-4201
Fax(715) 568-4201
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 1985
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1811994205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License Licensed in WI · 2014-012
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1503 LARSON ST, Bloomer, WI 54724

Other Identifiers 3

Medicare UPINT62389WI
Medicaid38796100WI
Other392035966010WI · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Scott Kelley Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254347214
PECOS Enrollment IDI20060228000802

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
648 services168 patients

Other Providers at the Same Location NPPES 2

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

Chiropractor
1503 LARSON ST
BLOOMER, WI 54724
Chiropractor (Sports Physician)
1503 LARSON ST
BLOOMER, WI 54724

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 Kelley's NPI number?

The NPI number for Brian Kelley is 1811994205. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Brian Kelley located?

Brian Kelley practices at 1503 Larson St, Bloomer, WI 54724. The listed phone number is (715) 568-4220.

What is Brian Kelley's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Brian Kelley enrolled in Medicare?

Yes. Brian Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Kelley accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Brian Kelley 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 Brian Kelley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.