NPI 1164051413 · live from the CMS NPI Registry
Logen Breehl, DO
Pediatrics, Sports Medicine in Cincinnati, OH. National Provider Identifier 1164051413, active.
NPI record
| NPI | 1164051413 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Sports Medicine 2080S0010X |
| Practice location | 3333 Burnet Ave, Cincinnati, OH 45229 |
| Practice phone | 513-636-4200 |
| Mailing address | 1528 Southcross Dr, Hebron, KY 41048 |
| Enumerated | April 7, 2020 |
| Last updated | August 19, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 34.016309 (OH) |
| Pediatrics, Sports Medicine | 2080S0010X | 06118 (KY) |
| Pediatrics, Sports Medicine primary | 2080S0010X | 34.016309 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.