Active NPI
Brenna Katherine Hallum Reed, DPM
- Podiatrist
- Columbus, OH
National Provider Identifier
1376106997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36004066
- Practice address
- 5156 E Main St
Columbus, OH 43213-2424 - Phone
- (614) 702-7655
- Fax
- (614) 706-1770
- NPI assigned
- Apr 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36004066 | OH | Primary |
Addresses
Primary practice location
5156 E Main St
Columbus, OH 43213-2424
Mailing address
5156 E Main St
Columbus, OH 43213-2424
Phone (614) 702-7655
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36004066 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Columbus Ohio, LLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453
5156 E Main St
Columbus, OH 43213
Phone (614) 702-7655
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1376106997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5156 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432132424",
"telephone_number": "614-702-7655",
"fax_number": "614-706-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5156 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432132424",
"telephone_number": "614-702-7655",
"fax_number": "614-706-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "BRENNA",
"middle_name": "KATHERINE HALLUM",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36004066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.