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
Bridgeport, CTNo coordinates on file. Search this address in Google Maps
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 |
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 |
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