Individual provider

Logen Breehl, DO

Pediatric Sports Medicine Physician Pediatrics Physician Medicare enrolled

Logen Breehl, DO is a Pediatric Sports Medicine Physician in Cincinnati, OH, registered under NPI 1164051413. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3333 BURNET AVE, Cincinnati, OH 45229. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3333 BURNET AVE, Cincinnati, OH 45229 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
34.016309 OH Pediatric Sports Medicine Physician primary
34.016309 OH Pediatrics Physician
06118 KY Pediatric Sports Medicine Physician

Licences are recorded in 2 states: OH, KY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Sports Medicine
PAC ID
7618466756

Medicare enrolment is recorded as approved under the provider type Practitioner - Sports Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Kentucky and Ohio. The practice address on file is in Cincinnati, OH, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KY Kentucky
Licence
06118
Specialty
Pediatric Sports Medicine Physician
Verify with the KY board →
OH Ohio practice address
Licence
34.016309
Specialty
Pediatric Sports Medicine Physician
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Sports Medicine covers

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. NUCC Health Care Provider Taxonomy, code 2080S0010X
Allopathic & Osteopathic Physicians Pediatrics Sports Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080S0010X Pediatric Sports Medicine Physician Sports Medicine 34.016309 OH primary
208000000X Pediatrics Physician 34.016309 OH
2080S0010X Pediatric Sports Medicine Physician Sports Medicine 06118 KY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164051413 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 7, 2020
Last updatedAug 19, 2025
StatusActive
Sole proprietorNo
CredentialDO
Practice address 3333 BURNET AVE
Cincinnati, OH 45229
(513) 636-4200
Mailing address 1528 SOUTHCROSS DR
Hebron, KY 41048
This record was updated on Aug 19, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1164051413 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 0 5 1 4 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 0 5 2 4 2

Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164051413?
NPI 1164051413 is the National Provider Identifier assigned to Logen Breehl, DO in Cincinnati, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury…
How do I contact Logen Breehl, DO?
The phone number on file with NPPES is (513) 636-4200, last updated Aug 19, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Logen Breehl, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164051413 a valid number?
Yes. 1164051413 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.