Active NPI
Logen Breehl, DO
- Pediatric Sports Medicine Physician
- Cincinnati, OH
National Provider Identifier
1164051413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sports Medicine Physician
- License
- 34.016309
- Practice address
- 3333 Burnet Ave
Cincinnati, OH 45229 - Phone
- (513) 636-4200
- NPI assigned
- Apr 7, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34.016309 | OH | |
| Pediatric Sports Medicine Physician | 2080S0010X | 06118 | KY | |
| Pediatric Sports Medicine Physician | 2080S0010X | 34.016309 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave
Cincinnati, OH 45229
Mailing address
1528 Southcross Dr
Hebron, KY 41048-6707
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Campbell Univ School of Osteopathic Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3333 Burnet Ave
Cincinnati, OH 45229-3039
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06118 | KY | MD | Pediatric Sports Medicine Physician |
| 34.016309 | OH | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Pediatrics | Current | Accepting new patients |
| Englender Sper & Drasnin, M.D.'S Inc | Pediatrics | Past | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
2765 Chapel Pl
Crestview Hills, KY 41017
Phone (859) 344-1900
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
7777 Yankee Rd
#16016
Liberty Township, OH 45044
Phone (513) 803-9600
Interoperability endpoints
- https://api.platform.athenahealth.com/1200/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Pediatrics Physician
- Milford, OH
- NPI 1265411912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1164051413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 SOUTHCROSS DR",
"city": "HEBRON",
"state": "KY",
"postal_code": "410486707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45229",
"telephone_number": "513-636-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEHL",
"first_name": "LOGEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34.016309",
"primary": false
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "KY",
"license": "06118",
"primary": false
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "OH",
"license": "34.016309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.