Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAZE KELLY, DO
ActiveDR. BLAZE KELLY, DO is a Pain Medicine (Anesthesiology) healthcare provider located in BRIDGEPORT, Connecticut. NPI 1003445842 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1003445842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2020 (6.1788771295486 yrs)
- Last Updated
- May 16, 2025
- Licenses
-
OT019937 (PA)81122 (CT)
Practice Information
- Address
-
267 GRANT STBRIDGEPORT, CT, 066102805Browse CT providers · Browse ZIP 06610
- Phone
- 2033843000
- Fax
- 2033844108
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Pain Medicine (Anesthesiology)
Other Pain Medicine (Anesthesiology) Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| DR. MEHWISH MIRZA | MD | 1982166708 |
| MAHD NISHTAR | — | 1992361299 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.