Individual provider Active NPI

Breanna Lane Bird, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1104308758
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
023338 Issued in OH
Practice address
7200 Blue Ash Rd
Cincinnati, OH 45236-3626
Phone
(513) 975-0377
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 023338 OH Primary

Addresses

Primary practice location

7200 Blue Ash Rd
Cincinnati, OH 45236-3626

Mailing address

7200 Blue Ash Rd
Cincinnati, OH 45236-3626
Phone (513) 975-0377

Other practice location 1

7200 Blue Ash Rd
Cincinnati, OH 45236-3626
Phone (513) 975-0377

Other practice location 2

1064 State Route 28 Ste F
Milford, OH 45150-4940
Phone (513) 981-4050

Other identifiers 1

IdentifierTypeStateIssuer
02338OtherOHN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107002775 OH Practitioner - Nurse Practitioner 1052665130 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
023338OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Urgent Care LLC CurrentSince Feb 9, 2025 Accepting new patients
Theoria Medical CurrentSince Feb 21, 2022 Accepting new patients
Infinite Medical PC CurrentSince Jun 1, 2025 Accepting new patients
CG Medical Associates Inc CurrentSince Oct 30, 2018 Accepting new patients
S&S Primary Care LLC CurrentSince Jan 5, 2025 Accepting new patients
S&S Care Solutions, LLC CurrentSince Sep 9, 2024 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

250 Skillman St
Ste 202
Brooklyn, NY 11205

8593 Winton Rd
Cincinnati, OH 45231
Phone (513) 952-5000

5999 Bender Rd
Cincinnati, OH 45233
Phone (513) 922-1440

454 Ohio Pike
Unit 38
Cincinnati, OH 45255
Phone (513) 981-4201

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

5555 Glenway Ave
Ste 1090
Cincinnati, OH 45238
Phone (513) 981-4200

7200 Blue Ash Rd
Cincinnati, OH 45236
Phone (513) 847-6678

11294 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 815-7000

4450 Eastgate Blvd
Cincinnati, OH 45245
Phone (513) 753-1300

3300 Princeton Rd
Fairfield Township, OH 45011
Phone (513) 868-9999

1 N Brookwood Ave
Hamilton, OH 45013
Phone (513) 805-4499

10582 Loveland Madeira Rd
Loveland, OH 45140
Phone (513) 531-1505

1064 State Route 28
Ste F
Milford, OH 45150
Phone (513) 981-4050

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1104308758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 BLUE ASH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363626",
            "telephone_number": "513-975-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BLUE ASH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363626",
            "telephone_number": "513-975-0377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Blue Ash Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452363626",
            "country_code": "US",
            "telephone_number": "513-975-0377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 State Route 28 Ste F",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451504940",
            "country_code": "US",
            "telephone_number": "513-981-4050",
            "fax_number": "513-322-4859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRD",
        "first_name": "BREANNA",
        "middle_name": "LANE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "02338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.