Kelly Tatum Brace, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

880 Issued in TN

Practice address

111 Highway 70 E Ste 102
Dickson, TN 37055-2080

Phone

(615) 229-3045

Fax

(615) 332-0340

NPI assigned

Jun 8, 2016

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Foot and Ankle Care Centers, PCGroup PAC ID 3476449711, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Foot & Ankle Care Centers, PC

  • Foot & Ankle Surgery Podiatrist
  • Nashville, TN
  • NPI 1801990049

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Advanced Foot & Ankle Care Centers, PC

  • Foot & Ankle Surgery Podiatrist
  • Nashville, TN
  • NPI 1750276424

  Primary Podiatric Medicine

  NPD
• Advanced Foot & Ankle Care Centers

  • Podiatrist
  • Spring Hill, TN
  • NPI 1104915818

  Primary Podiatric Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Tennessee Hospital Corporation

  dba Tristar Horizon Medical Center

  • General Acute Care Hospital
  • Dickson, TN
  • NPI 1871530832
  Care Compare affiliation

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1609225986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD STE 411",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118028",
            "telephone_number": "615-332-0330",
            "fax_number": "615-332-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E STE 102",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-229-3045",
            "fax_number": "615-332-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACE",
        "first_name": "KELLY",
        "middle_name": "TATUM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q060900",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina R Blount, S.P.E.
• Kenneth Cole Bone, AEMT
• Meredith M. Bone, OTR/L
• Adam Paul Bordes, DC
• Bretteny Lacole Boyd, MSN, APRN, FNP-C
• Lindsay Bradshaw, DPT
• Daniel Braughton, DPT
• Kayla Renee Breeden, PMHNP-BC
• Bridge Educational Services, LLC
• Jessica Lynn Bridges

• Foot & Ankle Surgery Podiatrist in Dickson, TN
• Providers in Dickson, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.

Verify at the official NPI Registry.