Active NPI
Olubusola Abiye Brimmo, MD
- Orthopaedic Surgery Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036139012
- Practice address
- 1220 W Wheeler Pkwy
Augusta, GA 30909-6625 - Phone
- (706) 721-2741
- NPI assigned
- Mar 28, 2008
- Last updated
- Sep 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015017078 | Other | MO | MISSOURI DIVISION OF PROFESSIONAL REGISTRATION |
| T9647 | Other | TX | TEXAS STATE MEDICAL BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036139012 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of New Jersey, LLC | General Practice | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Easy Health Medical Solutions Mi PC | General Practice | Current | Accepting new patients |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Easy Health Medical Solutions PC | General Practice | Current | Accepting new patients |
| Daniel B Grossman M D Inc | Past | 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
- 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.
-
- Nurse Practitioner
- Fulton, MD
- NPI 1972179141
CA, GA, General Practice, IL, IN, MI, NJ, NV, TX, VA, WI
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
-
- General Practice Physician
- Los Angeles, CA
- NPI 1588462261
-
- General Practice Physician
- Columbia, MO
- NPI 1942774625
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba Marciana Group of California
- Medical Specialty Clinic/Center
- Orange, CA
- NPI 1922739366
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.