Individual provider Active NPI

Todd Martin Brickman, PH.D./MD

  • Otolaryngology Physician
  • Dublin, OH
National Provider Identifier
1225051279
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35.133855 Issued in OH
Practice address
5775 Perimeter Dr Ste 150
Dublin, OH 43017-3238
Phone
(888) 938-3838
Fax
(888) 919-1083
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35.133855 OH Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 35.133855 OH
Otolaryngology Physician 207Y00000X 204958 LA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 35.133855 OH
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 2007018704 MO

Addresses

Primary practice location

5775 Perimeter Dr Ste 150
Dublin, OH 43017-3238

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other identifiers 2

IdentifierTypeStateIssuer
0392459MedicaidOH
2167405MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200423003316 OH Practitioner - Otolaryngology 6709970593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Toledo College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ear Nose and Throat Specialists, SCGroup PAC ID 9335106319, 33 clinicians

Practice addresses (Care Compare)

9260 Marketplace Dr
Suite 102
Miamisburg, OH 45342-4478
Phone (888) 938-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
204958LAMDOtolaryngology Physician
35.133855OHMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician
2007018704MOMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ear Nose & Throat Specialists, SC Otolaryngology CurrentSince Jun 16, 2025 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Advanced Ear Nose & Throat Specialists, PLLC Otolaryngology Past Accepting new patients
Our Lake of the Lake Head and Neck Ce Past Accepting new patients

Locations

6531 Market Ave N
#100
Canton, OH 44721

4030 Easton Sta
Ste 200
Columbus, OH 43219
Phone (614) 566-0929

5775 Perimeter Dr
Ste 150
Dublin, OH 43017

9260 Marketplace Dr
Ste 102
Miamisburg, OH 45342

17986 Royalton Rd
Strongsville, OH 44136

28601 Chagrin Blvd
Ste 250
Woodmere, OH 44122

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

Interoperability endpoints

  • Direct secure messaging: tbrickman708198@direct.bsmhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1225051279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 PERIMETER DR STE 150",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173238",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKMAN",
        "first_name": "TODD",
        "middle_name": "MARTIN",
        "credential": "PH.D./MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35.133855",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "OH",
            "license": "35.133855",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "204958",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "OH",
            "license": "35.133855",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MO",
            "license": "2007018704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392459",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167405",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.