LOGEN BREEHL, DO — NPI 1164051413 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in CINCINNATI, OH)

CMS-1500 Box 24J / 33a • NPI

1164051413

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2080S0010X (CMS 23)

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

3333 BURNET AVE, CINCINNATI, OH, 45229

Official NPPES Practice Location

Practice Phone & Referral Fax

(513) 636-4200

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164051413 (LOGEN BREEHL, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164051413` (NPI-1 Individual Practitioner)
Provider / Legal Name	LOGEN BREEHL, DO
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `2080S0010X` (Pediatrics, Sports Medicine)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	3333 BURNET AVE, CINCINNATI, OH, 45229
Practice Telephone / Fax	Tel: (513) 636-4200
Administrative Mailing Address	1528 SOUTHCROSS DR, HEBRON, KY, 41048-6707
Enumeration & Last Sync	Enumerated: 2020-04-07 \| CMS Record Updated: 2025-08-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3333 BURNET AVE, CINCINNATI, OH, 45229

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Plain-English Taxonomy & CMS Crosswalk (2080S0010X)

What Does Taxonomy Code 2080S0010X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2080S0010X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 23 (Physician/Sports Medicine) • CMS Code 37 (Physician/Pediatric Medicine)
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LOGEN BREEHL, DO)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: OH \| License: `34.016309` \| Primary: Secondary
`2080S0010X` — Pediatrics, Sports Medicine Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: KY \| License: `06118` \| Primary: Secondary
`2080S0010X` — Pediatrics, Sports Medicine Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: OH \| License: `34.016309` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LOGEN BREEHL, DO (NPI #1164051413)