Individual provider Active NPI

Kathleen Bren, M.D.

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1154717387
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD046905 Issued in DC
Practice address
5215 Loughboro Rd NW Ste 500
Washington, DC 20016
Phone
(202) 243-3500
Fax
(202) 966-8411
NPI assigned
Apr 14, 2015
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD046905 DC Primary

Addresses

Primary practice location

5215 Loughboro Rd NW Ste 500
Washington, DC 20016

Mailing address

5215 Loughboro Rd NW Ste 500
Washington, DC 20016-2628
Phone (202) 243-3500

Other practice location 1

110 Irving St NW
Dept of Obstetrics and Gynecology
Washington, DC 20010-3017
Phone (202) 877-8035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626003048 DC Practitioner - Obstetrics/Gynecology 2163756057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom OB GYN LLCGroup PAC ID 7810276623, 5 clinicians

Practice addresses (Care Compare)

4001 Brandywine St NW
Suite 300
Washington, DC 20016-1876
Phone (202) 449-9570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD046905DCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom OB GYN, LLC Single Specialty CurrentSince Apr 28, 2025 Accepting new patients
Foxhall Women's Health, P.C. Single Specialty CurrentSince Jul 27, 2019 Accepting new patients

Locations

4001 Brandywine St NW
Ste 300
Washington, DC 20016
Phone (202) 449-9570

5215 Loughboro Rd NW
Ste 500
Washington, DC 20016
Phone (202) 243-3500

Interoperability endpoints

  • Direct secure messaging: kathleen.bren.1@14179.direct.athenahealth.com
  • Direct secure messaging: kbren542795@direct.hopkinsmedicine.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1154717387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162628",
            "telephone_number": "202-243-3500",
            "fax_number": "202-966-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20016",
            "telephone_number": "202-243-3500",
            "fax_number": "202-966-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_2": "Dept of Obstetrics and Gynecology",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-8035",
            "fax_number": "202-877-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREN",
        "first_name": "KATHLEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD046905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.