MRS. KELLI CHARLENE BREZOVIC PA-C
NPI 1861722852
Physician Assistant - Medical in Suffolk, VA

Active since January 13, 2010
2470 PRUDEN BLVD, SUFFOLK, VA 23434(757) 539-1503(757) 539-0107 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelli Charlene Brezovic Pa-c NPPES

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

MRS. KELLI CHARLENE BREZOVIC PA-C (NPI 1861722852) is an individual medical provider in Suffolk, Virginia, licensed in Virginia (0110002465) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1861722852
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KELLI CHARLENE BREZOVICCredential: PA-C
Location Address2470 PRUDEN BLVDSuffolk, VA 23434-4206
Mailing Address2470 Pruden BlvdSuffolk, VA 23434-4206 · (757) 539-1503 · Fax (757) 539-0107
Fax(757) 539-0107
Sole ProprietorNo
Enumeration DateJanuary 13, 2010
NPI 1861722852 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 VA · 0110002465
2470 PRUDEN BLVD, Suffolk, VA 23434

Other Providers at the Same Location NPPES 9

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

Home Health
2470 PRUDEN BLVD
SUFFOLK, VA 23434
Specialist
2470 PRUDEN BLVD
SUFFOLK, VA 23434
Specialist
2470 PRUDEN BLVD
SUFFOLK, VA 23434
Clinic/Center (Mental Health (Including Community Mental Health Center))
2470 PRUDEN BLVD
SUFFOLK, VA 23434
Psychologist
2470 PRUDEN BLVD
SUFFOLK, VA 23434
Social Worker (Clinical)
2470 PRUDEN BLVD
SUFFOLK, VA 23434
Psychiatry & Neurology (Psychiatry)
2470 PRUDEN BLVD
SUFFOLK, VA 23434
Nurse Practitioner (Family)
2470 PRUDEN BLVD
SUFFOLK, VA 23434

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 Kelli Brezovic's NPI number?

The NPI number for Kelli Brezovic is 1861722852. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Kelli Brezovic located?

Kelli Brezovic practices at 2470 Pruden Blvd, Suffolk, VA 23434. The listed phone number is (757) 539-1503.

What is Kelli Brezovic's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Brezovic was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.