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KATELYN MARIE BRACKNEY DO
NPI 1407794944
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 24, 2026PECOS Enrolled
5109 W BROAD ST, COLUMBUS, OH 43228(614) 544-1976(614) 544-1981 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Katelyn Marie Brackney Do NPPES

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

KATELYN MARIE BRACKNEY DO (NPI 1407794944) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407794944
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATELYN MARIE BRACKNEYCredential: DO
Location Address5109 W BROAD STColumbus, OH 43228-1648
Mailing Address08900 Tri Township RdNew Bremen, OH 45869-9732 · (567) 644-9666
Phone(614) 544-1976
Fax(614) 544-1981
Sole ProprietorNo
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1407794944 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.
5109 W BROAD ST, Columbus, OH 43228
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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)

Katelyn Marie Brackney 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.

PAULO S NUNES DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. TREVOR DEW DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DUVEEN NALAMOTHU DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
ANASTASIA COLLIER
Social Worker (Clinical)
5109 W BROAD ST, 104
COLUMBUS, OH 43228
Franklin County (614) 279-7690
MEGAN FLESHMAN
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
ASHLEY GERARD DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. BRADLEY CHRISTOPHER KRUITHOFF DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. GRACE BERRY DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Brackney's NPI number?

The NPI number for Katelyn Brackney is 1407794944. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Katelyn Brackney located?

Katelyn Brackney practices at 5109 W Broad St, Columbus, OH 43228. The listed phone number is (614) 544-1976.

What is Katelyn Brackney's specialty?

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

Is Katelyn Brackney enrolled in Medicare?

Yes. Katelyn Brackney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelyn Brackney was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.