Dr Brad Richard Kelly, DO is a medicare enrolled "Family Medicine" physician in Varnville, South Carolina. His current practice location is
1000 Pine St W, Varnville, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 943-7702.
Dr Brad Richard Kelly is licensed to practice in South Carolina (license number 39359) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609284223.
Physician's Profile
Full Name | Dr Brad Richard Kelly |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1000 Pine St W, Varnville, South Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Brad Richard Kelly attended and graduated from in
NPI Data:
- NPI Number: 1609284223
- Provider Enumeration Date: 07/28/2014
- Last Update Date: 05/11/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Brad Richard Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609284223 | NPI | - | NPPES |
393596 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R3239 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 58.005341 (Ohio) | Secondary |
207Q00000X | Family Medicine | 39359 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brad Richard Kelly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Brad Richard Kelly, DO 1000 Pine St W, Varnville, SC 29944-4750 Ph: (803) 943-7702 | Dr Brad Richard Kelly, DO 1000 Pine St W, Varnville, SC 29944-4750 Ph: (803) 943-7702 |
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