BRADY KATHLEEN CORLESS DO
NPI 1366145245
Student in an Organized Health Care Education/Training Program in Columbus, OH

Q: What is Brady Corless's NPI number?

The NPI number for Brady Corless is 1366145245. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Brady Corless'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 Brady Corless was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 22, 2023PECOS Enrolled

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

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brady Kathleen Corless Do NPPES

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

BRADY KATHLEEN CORLESS DO (NPI 1366145245) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366145245

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBRADY KATHLEEN CORLESSCredential: DO

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

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

Phone(614) 293-3989

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateMarch 24, 2023

NPPES CertifiedMarch 24, 2023

✔ NPI 1366145245 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)

Brady Kathleen Corless Do 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