KELLY TATUM BRACE (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1609225986

KELLY TATUM BRACE (DPM) is a healthcare provider. based in Temple, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 880 (TN). The NPI Number for KELLY TATUM BRACE (DPM) is 1609225986

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY TATUM BRACE (DPM)
NPI
1609225986
Phone
(254) 724-2111
Address
SCOTT AND WHITE
Enumeration Date
8 June 2016
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6152293045
Graduation Year
2016 (10 years ago)
PAC ID
7810277548
Group Practice PAC ID
3476449711
Professional Enrollment ID
I20200922003137
Address ID
TN370552080DI111XXEXXX435
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,098 PODIATRY in TX

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Provider Addresses for KELLY TATUM BRACE (DPM)

  • Scott and White, Lake Road, Belton, Bell County, Texas, 76513, United States

    2401 S 31ST. ST.

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Mailing

  • 111 HIGHWAY 70 E STE 102

    DICKSON, TN 370552080

    Phone: (615) 229-3045

    Fax: (615) 332-0340

    Type: Location

  • 397 WALLACE RD STE 411

    NASHVILLE, TN 372118028

    Phone: (615) 332-0330

    Fax: (615) 332-0340

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,062.

Total Amount is formed as General ($1,062) + Research ($0) + Ownership ($0) = $1,062.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Stryker Corporation ($579).

Total Amount

$1,062

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,062

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200922003137IPodiatryTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails879280$0
99213Established patient office or other outpatient visit, 20-29 minutes303169$0
11042Removal of skin and tissue, 20.0 sq cm or less25049$0
J1100Injection, dexamethasone sodium phosphate, 1 mg24325$0
11056Removal of noncancer thickened skin growth, 2-4 growths227103$0
View full utilization report →

Insurance plans in this area (ZIP 76508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476449711View full group profile
NameSpecialtyState
P O D I A T R YTN
P O D I A T R YTN
-TN
Physician AssistantSC
P O D I A T R YTN
P O D I A T R YMI
P O D I A T R YOH
P O D I A T R YTN
P O D I A T R YTN

Reviews

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Frequently asked questions

How do I look up KELLY TATUM BRACE (DPM) by NPI?
Use NPI 1609225986 when you need to reference KELLY TATUM BRACE (DPM) in forms, claims, or directories.
Does this profile mean KELLY TATUM BRACE (DPM) is currently active?
Yes — KELLY TATUM BRACE (DPM) appears active in the national provider directory.
Can you summarize KELLY TATUM BRACE (DPM)'s specialty in plain language?
Clinically, the directory lists KELLY TATUM BRACE (DPM) with Primary Podiatric Medicine Podiatrist. Clinical services aligned with this taxonomy classification.
Does KELLY TATUM BRACE (DPM) practice in Texas?
You will see Temple, Texas on file for KELLY TATUM BRACE (DPM) alongside any extra practice locations.
What if Temple, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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