Individual provider Active NPI

Ryan Brinn, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1265963292
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.135433 Issued in OH
Practice address
5156 E Main St
Columbus, OH 43213-2424
Phone
(614) 702-7655
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.135433 OH Primary

Addresses

Primary practice location

5156 E Main St
Columbus, OH 43213-2424

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (614) 702-7655

Other identifiers 1

IdentifierTypeStateIssuer
0229763MedicaidOH

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
I20200504000476 OH Practitioner - Family Practice 5092084806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Columbus Ohio LLCGroup PAC ID 9032445929, 9 clinicians

Practice addresses (Care Compare)

5156 E Main St
Columbus, OH 43213-2424
Phone (614) 702-7655

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.135433OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Family Medicine Current Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2020 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Apr 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2020 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

697 Thomas Ln
Columbus, OH 43214
Phone (614) 566-5414

Dept L3652
Columbus, OH 43260

5156 E Main St
Columbus, OH 43213
Phone (614) 702-7655

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1265963292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "614-702-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132424",
            "telephone_number": "614-702-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINN",
        "first_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.135433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.