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RANDALL GRANT KELLEY D.O.
NPI 1841203130
Family Medicine in Bremerton, WA

Active since August 15, 2006PECOS Enrolled
NAVAL HOSPITAL, ONE BOONE ROAD, BREMERTON, WA 98312(360) 475-4426(360) 475-4344 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Grant Kelley D.o. NPPES

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

RANDALL GRANT KELLEY D.O. (NPI 1841203130) is an individual family medicine provider in Bremerton, Washington, licensed in Ohio (003754) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841203130
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDALL GRANT KELLEYCredential: D.O.
Location AddressNAVAL HOSPITAL, ONE BOONE ROADBremerton, WA 98312-1898
Mailing AddressNaval Hospital, One Boone RoadBremerton, WA 98312-1898 · (360) 475-4426 · Fax (360) 475-4344
Phone(360) 475-4426
Fax(360) 475-4344
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateApril 18, 2013
✔ NPI 1841203130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 003754
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
NAVAL HOSPITAL, Bremerton, WA 98312
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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)

Randall Grant Kelley D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MALCOLM C MASTELLER M.D.
Family Medicine
NAVAL HOSPITAL, ONE BOONE ROAD
BREMERTON, WA 98312
Kitsap County (360) 475-4426
DR. MICHAEL MADDOX M.D.
Otolaryngology
NAVAL HOSPITAL, ONE BOONE ROAD
BREMERTON, WA 98312
Kitsap County (360) 475-4426

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 Randall Kelley's NPI number?

The NPI number for Randall Kelley is 1841203130. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Randall Kelley located?

Randall Kelley practices at Naval Hospital One Boone Road, Bremerton, WA 98312. The listed phone number is (360) 475-4426.

What is Randall Kelley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Randall Kelley enrolled in Medicare?

Yes. Randall Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Kelley was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.