Individual provider Active NPI

Brenda Alexis Osborne, M.D.

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1548303696
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
32781 Issued in KY
Practice address
4123 Dutchmans LN Ste 410
Louisville, KY 40207-4733
Phone
(502) 893-5502
Fax
(502) 969-8378
NPI assigned
Feb 15, 2007
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 32781 KY Primary

Addresses

Primary practice location

4123 Dutchmans LN Ste 410
Louisville, KY 40207-4733

Mailing address

4123 Dutchmans LN Ste 410
Louisville, KY 40207-4733
Phone (502) 893-5502

Other identifiers 6

IdentifierTypeStateIssuer
1102093OtherKYPASSPORT
1072555OtherKYPASSPORT
1104978OtherKYPASSPORT
000000066734OtherKYANTHEM
1104973OtherKYPASSPORT
64327810MedicaidKY

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32781KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Neonatal Specialists Pediatrics Current Accepting new patients
Pediatric and Neonatal Specialists Pediatrics Current Accepting new patients

Locations

4123 Dutchmans Ln
Ste 410
Louisville, KY 40207
Phone (502) 893-5502

6500 Preston Hwy
Louisville, KY 40219
Phone (502) 893-5502

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1548303696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN STE 410",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074733",
            "telephone_number": "502-893-5502",
            "fax_number": "502-969-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN STE 410",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074733",
            "telephone_number": "502-893-5502",
            "fax_number": "502-969-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "BRENDA",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "32781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1102093",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1072555",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1104978",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000066734",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1104973",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64327810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.