Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKS BRENDEN KELLY, MD
ActiveBROOKS BRENDEN KELLY, MD is a Plastic and Reconstructive Surgery healthcare provider located in SOUTHLAKE, Texas. NPI 1770148066 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · SOUTHLAKE, TX
Registration Details
- NPI Number
- 1770148066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2019 (7.3053678817542 yrs)
- Last Updated
- Jun 19, 2025
- Licenses
-
0116032687 (VA)V6040 (TX)
Practice Information
- Address
-
415 E SOUTHLAKE BLVD STE 101SOUTHLAKE, TX, 760926279Browse TX providers · Browse ZIP 76092
- Phone
- 8178093155
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic and Reconstructive Surgery
Other Plastic and Reconstructive Surgery Providers in SOUTHLAKE, TX
| Name | Credential | NPI |
|---|---|---|
| DR. GRANT ALEXANDER BOND | M.D. | 1669890943 |
| ARVIND MANISUNDARAM | — | 1801282132 |
| DR. LINDSEY HOPE TAVAKOLIAN | M.D. | 1669904173 |
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.