Dr. Blaze Kelly, DO
Dr. Blaze Kelly, DO is a Pain Management in Bridgeport, Connecticut. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2020, 6 years ago. Practices with Yale University, a 2,618-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Pennsylvania.
- Years since qualifying
- 6
- Trained at
- Lake Erie College of Osteopathic Medicine, Erie
- Licensed in
- CT, PA
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
267 Grant StBridgeport, CT 06610-2805
Phone: (203) 384-3000
Fax: (203) 384-4108
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 111 S 11th St Ste 8290, Philadelphia, PA 19107-4824 — (215) 955-2370
Specialties & licences
| Pain Medicine (Anesthesiology) Physician (primary) | Taxonomy 207LP2900X · Licence 81122 (CT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence OT019937 (PA) |
Record details
| NPI number | 1003445842 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | April 3, 2020 |
| Last updated in NPPES | May 16, 2025 |
| Certification date | May 16, 2025 |
| Mailing address | 111 S 11th St Ste 8290, Philadelphia, PA 19107-4824 |
Medicare enrollment
| Medicare specialty | PAIN MANAGEMENT |
|---|---|
| Also practises | ANESTHESIOLOGY |
| Medical school | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE |
| Graduated | 2020 (6 years in practice) |
| Group practice | Yale University — 2618 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bridgeport
-
Nikitha Karkala
2800 Main St Dept OF Medicine, Bridgeport, CT 06606 · (475) 210-5791
-
Jessica Kaushal, MD
267 Grant Street Medical Education Podium 4 Bridgeport CT 06610 USA, Bridgeport, CT 06610 · (203) 384-3000
-
Dr. Yabets Tesfaye Kebede
267 Grant St, Bridgeport, CT 06610-2870 · (203) 384-3000
-
Andrew John Kehrer, DO
2800 Main St, Bridgeport, CT 06606-4201 · (203) 576-6000
-
MS. Lauren Alexis Kelly, PA-C
126 Park Ave, Bridgeport, CT 06604-7620 · (203) 576-4552
-
Freda C Kennedy, MD
267 Grant St, Bridgeport, CT 06610-2805 · (203) 384-3000
-
Laura Khandjian, MD
267 Grant St, Bridgeport, CT 06610-2870 · (203) 384-3716
-
Prerna Khanna
267 Grant St, Bridgeport, CT 06610-2805 · (203) 384-3000