Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Richard Kelly, PA-C

Individual provider Physician Assistant · NPI 1356031942

Brian Richard Kelly, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2023, 3 years ago. Practices with Observation Medical Group LLC, a 55-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone: (813) 870-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9117340 (FL)

Record details

NPI number1356031942
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 9, 2023
Certification dateApril 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Observation Medical Group Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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