NPI age
7 years
Enumerated 2019-05-02
● Active
Type 1 · Individual
Brooks Brenden Kelly, MD
Kelly is 1 of 5 surgery providers in Southlake and 1 of 548 in Texas.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 548 active surgery providers in Texas.
NPI age
7 years
↓ 10 yr below median (17 yr)
State licenses
2 states
Top 85% — 15% of peers are multi-state
Subspecialties
0
40% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-05Enumerated in NPPES
2019
2026
Where they practice
Practice location
415 E Southlake Blvd Ste 101
Southlake, TX 760926279
Mailing address
415 E Southlake Blvd Ste 101
Southlake, TX 760926279
Specialties
-
Surgery PrimaryA surgeon who specializes in plastic and reconstructive surgery.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.