Individual provider Active NPI

Olubusola Abiye Brimmo, MD

  • Orthopaedic Surgery Physician
  • Augusta, GA
National Provider Identifier
1346412426
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036139012 Issued in IL
Practice address
1220 W Wheeler Pkwy
Augusta, GA 30909-6625
Phone
(706) 721-2741
NPI assigned
Mar 28, 2008
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036139012 IL Primary
General Practice Physician 208D00000X A-130240 CA
General Practice Physician 208D00000X 25MA11423600 NJ

Addresses

Primary practice location

1220 W Wheeler Pkwy
Augusta, GA 30909-6625

Mailing address

1220 W Wheeler Pkwy
Augusta, GA 30909-6625
Phone (678) 977-5507

Other practice location 1

3220 MacArthur Blvd
Oakland, CA 94602-3820
Phone (608) 769-6642

Other practice location 2

201 White Horse Rd E
Voorhees, NJ 08043-2601
Phone (608) 769-6642

Other practice location 3

8706 Manchester Rd Ste 106
Saint Louis, MO 63144-2733
Phone (314) 961-3570

Other practice location 4

7200 Cambridge St # 10A
Houston, TX 77030-4202
Phone (713) 986-7396

Other practice location 5

4695 MacArthur Ct # 1112A
Newport Beach, CA 92660-1882
Phone (084) 446-9226

Other practice location 6

7777 Bonhomme Ave Ste 1800
Saint Louis, MO 63105-1931
Phone (855) 396-9643

Other identifiers 2

IdentifierTypeStateIssuer
2015017078OtherMOMISSOURI DIVISION OF PROFESSIONAL REGISTRATION
T9647OtherTXTEXAS STATE MEDICAL BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address obrimmo584275@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA, MI, IN, IL, MO, TX, AK, NJ, PA, WI, NV, GA13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20090224000740 VA Practitioner - Emergency Medicine 7911062088 Reassigns benefits to 1 organization
I20141003000700 CA Practitioner - General PracticePractitioner - Orthopedic Surgery 7911062088 Reassigns benefits to 1 organization
I20211209002266 MI Practitioner - General Practice 7911062088 Reassigns benefits to 1 organization
I20211210001779 IN Practitioner - General Practice 7911062088 Reassigns benefits to 1 organization
I20211210002041 IL Practitioner - Orthopedic Surgery 7911062088 Reassigns benefits to 2 organizations
I20220425001062 MO Practitioner - Family Practice 7911062088
I20230327000916 TX Practitioner - General Practice 7911062088 Reassigns benefits to 2 organizations
I20231018004107 AK Practitioner - General Practice 7911062088 Reassigns benefits to 1 organization
I20231216000401 NJ Practitioner - General Practice 7911062088 Reassigns benefits to 2 organizations
I20240226004045 PA Practitioner - General Practice 7911062088 Reassigns benefits to 1 organization
I20240725001026 WI Practitioner - General Practice 7911062088 Reassigns benefits to 1 organization
I20241112003885 NV Practitioner - General Practice 7911062088 Reassigns benefits to 1 organization
I20241216003087 GA Practitioner - Orthopedic Surgery 7911062088 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036139012ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC General Practice CurrentSince Nov 8, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Easy Health Medical Solutions Mi PC General Practice CurrentSince Jul 1, 2025 Accepting new patients
Signify Health, LLC General Practice CurrentSince Oct 5, 2023 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Oct 5, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jun 25, 2025 Accepting new patients
Easy Health Medical Solutions PC General Practice CurrentSince Jan 30, 2023 Accepting new patients
Daniel B Grossman M D Inc PastSince Jun 21, 2022 Accepting new patients

Locations

247 S Alaska St
Palmer, AK 99645
Phone (907) 215-2353

10960 Wilshire Blvd
Los Angeles, CA 90024

10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024

1180 S Beverly Dr
Ste 700
Los Angeles, CA 90035
Phone (213) 584-2331

8605 Santa Monica Blvd
West Hollywood, CA 90069

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

420 NE Glen Oak Ave
Ste 201
Peoria, IL 61603
Phone (309) 655-3800

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

600 S 2nd St
Ste 404
Springfield, IL 62704
Phone (800) 318-3963

52 E Main St
Danville, IN 46122

11000 W McNichols Rd
Detroit, MI 48221
Phone (313) 340-4442

1404 Oak Tree Rd
Ste 4
Iselin, NJ 08830
Phone (646) 808-4060

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 577-7802

302 E Carson Ave
Fl 10
Las Vegas, NV 89101
Phone (310) 435-5537

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (855) 679-2366

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

5900 Balcones Dr
Ste 100
Austin, TX 78731

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

411 Falls Rd
Ste 100
Grafton, WI 53024
Phone (608) 668-4035

1712 Pioneer Ave
Cheyenne, WY 82001
Phone (307) 222-0371

Interoperability endpoints

  • Direct secure messaging: olubusola.brimmo.1@28492.direct.athenahealth.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1346412426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W WHEELER PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096625",
            "telephone_number": "678-977-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W WHEELER PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096625",
            "telephone_number": "706-721-2741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946023820",
            "country_code": "US",
            "telephone_number": "608-769-6642",
            "fax_number": "612-206-9305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 White Horse Rd E",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432601",
            "country_code": "US",
            "telephone_number": "608-769-6642",
            "fax_number": "612-206-9305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8706 Manchester Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631442733",
            "country_code": "US",
            "telephone_number": "314-961-3570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Cambridge St # 10A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304202",
            "country_code": "US",
            "telephone_number": "713-986-7396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4695 MacArthur Ct # 1112A",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601882",
            "country_code": "US",
            "telephone_number": "084-446-9226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Bonhomme Ave Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631051931",
            "country_code": "US",
            "telephone_number": "855-396-9643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIMMO",
        "first_name": "OLUBUSOLA",
        "middle_name": "ABIYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036139012",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A-130240",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA11423600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DIVISION OF PROFESSIONAL REGISTRATION",
            "identifier": "2015017078",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE MEDICAL BOARD",
            "identifier": "T9647",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "obrimmo584275@directwellstar.org",
            "affiliation": "N",
            "address_1": "1220 W Wheeler Pkwy",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309096625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.