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

Brooks Brenden Kelly, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1770148066

Brooks Brenden Kelly, MD is a Plastic and Reconstructive Surgery Physician in Southlake, Texas. Licensed in Texas and Virginia. Registered with an NPI since 2019.

Licensed in
TX, VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

415 E Southlake Blvd Ste 101
Southlake, TX 76092-6279
Phone: (817) 809-3155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence V6040 (TX)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 0116032687 (VA)

Record details

NPI number1770148066
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

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