Active NPI
Ryan Keith Brislin, MD
- Pediatrics Physician
- Ironton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.096567
- Practice address
- 1408 Campbell Dr Ste 201
Ironton, OH 45638-2301 - Phone
- (740) 534-9195
- Fax
- (740) 534-9327
- NPI assigned
- Mar 27, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.096567 | OH | Primary |
Addresses
Primary practice location
1408 Campbell Dr Ste 201
Ironton, OH 45638-2301
Mailing address
305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-3534
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0071860 | Medicaid | OH | |
| 7100221840 | Medicaid | KY | |
| 3810024385 | Medicaid | WV |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120917000558 | OH | Practitioner - Pediatric Medicine | 5698923670 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Current | Accepting new patients | |
| Ironton & Lawrence County Area Community Action Organization | Past | Accepting new patients |
Locations
717 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-6687
717 3rd Ave
#C
Chesapeake, OH 45619
Phone (740) 867-6687
223 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 532-3048
120 N 3rd St
Ironton, OH 45638
Phone (740) 532-7855
1408 Campbell Dr
Ste 201
Ironton, OH 45638
Phone (740) 442-2235
305 N 5th St
Ironton, OH 45638
1408 Campbell Dr
#201
Ironton, OH 45638
Phone (740) 534-9195
10777 County Road 107
Proctorville, OH 45669
Phone (740) 302-0541
55 Township Road 508 E
South Point, OH 45680
Phone (740) 377-2712
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Ironton, OH
- NPI 1093022287
OH
-
- Federally Qualified Health Center (FQHC)
- Chesapeake, OH
- NPI 1215014113
OH
-
- Federally Qualified Health Center (FQHC)
- Proctorville, OH
- NPI 1912254574
OH
-
- Primary Care Clinic/Center
- Ironton, OH
- NPI 1306461694
-
- Federally Qualified Health Center (FQHC)
- South Point, OH
- NPI 1336228212
-
- Federally Qualified Health Center (FQHC)
- Ironton, OH
- NPI 1588151872
-
- Federally Qualified Health Center (FQHC)
- Kitts Hill, OH
- NPI 1770839276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1407098023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N 5TH ST",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381578",
"telephone_number": "740-532-3534",
"fax_number": "740-532-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 CAMPBELL DR STE 201",
"city": "IRONTON",
"state": "OH",
"postal_code": "456382301",
"telephone_number": "740-534-9195",
"fax_number": "740-534-9327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISLIN",
"first_name": "RYAN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.096567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0071860",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100221840",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810024385",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.