Individual provider Active NPI

Brent R Driskill, M.D.

  • Otolaryngology Physician
  • State College, PA
National Provider Identifier
1477612372
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
14603 Issued in WI
Practice address
3901 S Atherton St Ste 6
State College, PA 16801-8324
Phone
(814) 466-6396
Fax
(814) 466-6056
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 14603 WI Primary
Otolaryngology Physician 207Y00000X C146197 CA
Otolaryngology Physician 207Y00000X 0101240491 VA
Otolaryngology Physician 207Y00000X 036142067 IL
Otolaryngology Physician 207Y00000X MD485648 PA

Addresses

Primary practice location

3901 S Atherton St Ste 6
State College, PA 16801-8324

Mailing address

1800 E Park Ave
State College, PA 16803-6701
Phone (202) 870-2090

Other practice location 1

164 Greenview Drive
State College, PA 16803-2106
Phone (814) 466-6396

Other practice location 2

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 3

4033 3rd Ave Ste 104
San Diego, CA 92103-2136
Phone (619) 294-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240701001107 PA Practitioner - Otolaryngology 0648402313 Reassigns benefits to 1 organization
I20260128001324 WI Practitioner - Otolaryngology 0648402313 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C146197CAMDOtolaryngology Physician
036142067ILMDOtolaryngology Physician
MD485648PAMDOtolaryngology Physician
0101240491VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshfield Clinic Inc CurrentSince Jan 26, 2026 Accepting new patients
Mount Nittany Medical Center Health Services Inc Otolaryngology CurrentSince Jul 1, 2024 Accepting new patients
Ear Nose and Throat Associates of San Diego a Medical Corp Otolaryngology CurrentSince Aug 1, 2017 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 26, 2026 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 26, 2026 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jun 19, 2017 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 26, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 26, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 26, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 26, 2026 Accepting new patients
Scripps Health Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 26, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 26, 2026 Accepting new patients
Hillcrest Ear Nose & Throat Inc Otolaryngology CurrentSince Jun 1, 2021 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 26, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 26, 2026 Accepting new patients
Memorial Hospital Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5565 Grossmont Center Dr
Ste 358
La Mesa, CA 91942
Phone (619) 465-1816

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

5565 Grossmont Center Dr
Ste 101
La Mesa, CA 91942
Phone (619) 464-3353

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4033 3rd Ave
Ste 104
San Diego, CA 92103
Phone (619) 294-2038

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

164 Greenview Dr
State College, PA 16803
Phone (814) 466-6396

3901 S Atherton St
Ste 6
State College, PA 16801
Phone (814) 466-6396

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

3901 S Atherton St
Ste 160
State College, PA 16801

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: bdriskill80966@scrippshlth.medalliesdirect.net

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1477612372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "202-870-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S ATHERTON ST STE 6",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168018324",
            "telephone_number": "814-466-6396",
            "fax_number": "814-466-6056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Greenview Drive",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032106",
            "country_code": "US",
            "telephone_number": "814-466-6396",
            "fax_number": "814-466-6056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4033 3rd Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032136",
            "country_code": "US",
            "telephone_number": "619-294-2350",
            "fax_number": "619-296-5719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISKILL",
        "first_name": "BRENT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "14603",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C146197",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101240491",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036142067",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD485648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.