Individual provider Active NPI

Betsy A Brogan, D.P.M

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1851316798
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-3262B Issued in OH
Practice address
2925 Vernon PL
Suite 302
Cincinnati, OH 45219-2425
Phone
(513) 381-4042
Fax
(513) 345-6632
NPI assigned
Jul 13, 2006
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-00-3262B OH Primary

Addresses

Primary practice location

2925 Vernon PL
Suite 302
Cincinnati, OH 45219-2425

Mailing address

6200 Pleasant Ave
Suite 3
Fairfield, OH 45014-4670
Phone (513) 829-9333

Other identifiers 2

IdentifierTypeStateIssuer
P00109971OtherOHRAIL ROAD MEDICARE
2404142MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000270 OH Practitioner - Podiatry 7618864992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1019 Linn St
Cincinnati, OH 45203-1314
Phone (513) 233-7100

1740 Langdon Farm Rd
Cincinnati, OH 45237-1157
Phone (513) 631-7100

2925 Vernon PL
Suite 302
Cincinnati, OH 45219-2425
Phone (513) 381-4042

5275 Winneste Ave
Cincinnati, OH 45232-1130
Phone (513) 242-1033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions35
Removal of nail tissue386
Removal or shaving of skin growth67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Winton Hills Medical & Health Center CurrentSince Mar 24, 2021 Accepting new patients
Betsy Brogan DPM Inc Podiatrist CurrentSince May 30, 2003 Accepting new patients
Winton Hills Medical & Health Center Current Accepting new patients
Betsy Brogan DPM Inc Podiatrist CurrentSince Jun 1, 2003 Accepting new patients
Winton Hills Medical & Health Center Past Accepting new patients
Mindfully, LLC Past Accepting new patients

Locations

1019 Linn St
Cincinnati, OH 45203
Phone (513) 233-7100

1740 Langdon Farm Rd
Cincinnati, OH 45237
Phone (513) 242-1033

2925 Vernon Pl
Ste 302
Cincinnati, OH 45219
Phone (513) 381-4042

5275 Winneste Ave
Cincinnati, OH 45232
Phone (513) 242-1033

5520 Harrison Ave
Cincinnati, OH 45248
Phone (513) 598-8324

5520 Harrison Ave
Ste C
Cincinnati, OH 45248
Phone (513) 598-8324

7691 5 Mile Rd
Ste 301
Cincinnati, OH 45230
Phone (513) 232-8880

6200 Pleasant Ave
Ste 3
Fairfield, OH 45014
Phone (513) 745-9988

Interoperability endpoints

  • Direct secure messaging: betsy.brogan.1@23272.direct.athenahealth.com

Organizations & group practices 6

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1851316798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PLEASANT AVE",
            "address_2": "SUITE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144670",
            "telephone_number": "513-829-9333",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL",
            "address_2": "SUITE 302",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-381-4042",
            "fax_number": "513-345-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "BETSY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-3262B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00109971",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2404142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.