BRYN DOUGHERTY KOEHLER MD
NPI 1255077764
Student in an Organized Health Care Education/Training Program in Columbus, OH

Q: What is Bryn Koehler's NPI number?

The NPI number for Bryn Koehler is 1255077764. It was assigned to this individual provider in the NPPES registry on May 8, 2022.

Q: What is Bryn Koehler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bryn Koehler was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2022PECOS Enrolled

395 W 12TH AVE FL 3, COLUMBUS, OH 43210(614) 293-3989(614) 293-9789 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 12, 2022, May 8, 2022 (2 updates tracked since 2022).

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About Bryn Dougherty Koehler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYN DOUGHERTY KOEHLER MD (NPI 1255077764) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255077764

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBRYN DOUGHERTY KOEHLERCredential: MD

Location Address395 W 12TH AVE FL 3Columbus, OH 43210-1267

Mailing Address395 W 12th Ave Fl 3Columbus, OH 43210-1267 · (614) 293-3989 · Fax (614) 293-9789

Phone(614) 293-3989

Fax(614) 293-9789

Sole ProprietorNo

Enumeration DateMay 8, 2022

Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1255077764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

395 W 12TH AVE FL 3, Columbus, OH 43210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryn Dougherty Koehler Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY NICHOLAS JUSTICE

Student in an Organized Health Care Education/Training Program