Active NPI
Todd Martin Brickman, PH.D./MD
- Otolaryngology Physician
- Dublin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35.133855
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0392459 | Medicaid | OH | |
| 2167405 | Medicaid | LA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 204958 | LA | MD | Otolaryngology Physician |
| 35.133855 | OH | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| 2007018704 | MO | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Ear Nose & Throat Specialists, SC | Otolaryngology | Current | 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
- 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.
-
- Otolaryngology Physician
- Miamisburg, OH
- NPI 1811717887
-
- Otolaryngology Physician
- Vernon Hills, IL
- NPI 1184281735
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
- Specialist
- Baton Rouge, LA
- NPI 1619919271
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.