KELLY TATUM BRACE DPM NPI 1609225986

NPI Information

  • NPI: 1609225986
  • Provider Name: KELLY TATUM BRACE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 HIGHWAY 70 E STE 102
    DICKSON, TN
    ZIP 37055
  • Phone: (615) 229-3045

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NPI Details

Kelly Tatum Brace, DPM is a foot and ankle surgery podiatrist in Dickson, TN with 10 years of experience. Kelly Tatum Brace, DPM NPI is 1609225986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 HIGHWAY 70 E STE 102
DICKSON, TN
ZIP 37055-080
Phone: (615) 229-3045
Fax: (615) 332-0340

The NPI 1609225986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection into tendon or ligament (HCPCS:20550)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Aspiration and/or injection of fluid from medium joint using ultrasound guidance (HCPCS:20606)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Biopsy of fingernail or toenail (HCPCS:11755)

The enumeration date for this NPI number is 6/8/2016 and was last updated on 6/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery880TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q060900MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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