Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770148066 Individual Practitioner Male Practitioner

Dr. Brooks Brenden Kelly , MD

Surgery - Plastic and Reconstructive Surgery • Southlake, TX

Professional Overview & Biography Verified Profile Summary

Dr. Brooks Kelly, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Southlake, TX. Practice services are available at 415 E SOUTHLAKE BLVD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 E Southlake Blvd Ste 101

Southlake, TX 760926279

Telephone 8178093155

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Southlake, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Southlake, TX (402 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-19
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX V6040

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License VA 0116032687

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Casey Anderson , MD

Student in an Organized Health Care Education/Training Program

NPI 1558617464

Doctor of Medicine (M.D.)

NPI 1568881282

Doctor of Medicine (M.D.)

Dr. Grant Bond , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1669890943

Doctor of Medicine (M.D.)

Arvind Manisundaram

Surgery - Plastic and Reconstructive Surgery

NPI 1801282132
NPI 1912520669

MDMPH

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 19, 2025

Registered at 415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 760926279 (Tel: 8178093155)

📍
Updated Business Mailing Address June 19, 2025

Registered at 415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 760926279 (Tel: 8178093155)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Surgery (License #0116032687 in VA)

NPI Profile Active May 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2019

Registered at VCUHS DEPARTMENT OF SURGERY RESIDENCY, 1250 E MARSHALL ST., RICHMOND, VA 23298 (Tel: 8048289783)

📍
Updated Business Mailing Address May 02, 2019

Registered at VCUHS GMEA, BOX 980257, RICHMOND, VA 23298 (Tel: 8048289783)

👤
Provider Name / Credentials Updated May 02, 2019

Recorded as BROOKS KELLY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770148066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2019
Last Update: June 19, 2025
Sole Proprietor: No

Mailing Address

415 E Southlake Blvd Ste 101

Southlake, TX 760926279

Phone: 8178093155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.