Active NPI
Brenna Mary Mae Bird, ED.S.
- Specialist
- Hamilton, OH
National Provider Identifier
1013396506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OH3175649
- Practice address
- 3371 Hamilton Cleves Rd
Hamilton, OH 45013-9535 - Phone
- (513) 863-6150
- NPI assigned
- May 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OH3175649 | OH | Primary |
Addresses
Primary practice location
3371 Hamilton Cleves Rd
Hamilton, OH 45013-9535
Mailing address
1710 Madison Rd
Apt. #5
Cincinnati, OH 45206-1898
Phone (412) 997-2601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3175649 | OH | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ross Local Schools | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Hamilton, OH
- NPI 1720227614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1013396506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 MADISON RD",
"address_2": "APT. #5",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061898",
"telephone_number": "412-997-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3371 HAMILTON CLEVES RD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450139535",
"telephone_number": "513-863-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "BRENNA",
"middle_name": "MARY MAE",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-29",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "OH3175649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.