Individual provider Active NPI

Robert Russell Brightwell, DO

  • Vascular Surgery Physician
  • Columbus, OH
National Provider Identifier
1487602694
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34.003008 Issued in OH
Practice address
3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone
(614) 255-6900
Fax
(614) 255-6901
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 34.003008 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937

Mailing address

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone (614) 255-6900

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
I20070710000812 OH Practitioner - Vascular Surgery 1658471321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medone Wound Care LLCGroup PAC ID 0840727517, 6 clinicians

Practice addresses (Care Compare)

3525 Olentangy River Rd
Suite 4330
Columbus, OH 43214-3937
Phone (614) 255-6930

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3008OHMDChiropractor
34.003008OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Hospitalists, Inc CurrentSince Jan 3, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 11, 2007 Accepting new patients
Medone Wound Care LLC CurrentSince Feb 11, 2025 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Ohiohealth Corporation CurrentSince Jun 11, 2007 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
R H Bracken DO Inc Vascular Surgery Past Accepting new patients

Locations

44565 Sunset Rd
Caldwell, OH 43724
Phone (740) 732-2364

1087 Dennison Ave
Columbus, OH 43201
Phone (614) 458-9000

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

Dept L3652
Columbus, OH 43260

5131 Beacon Hill Rd
Ste 100
Columbus, OH 43228
Phone (330) 808-1664

3525 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

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

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

2270 Warrensburg Rd
Delaware, OH 43015
Phone (740) 272-7150

5350 Frantz Rd
Dublin, OH 43016

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

730 Millcrest Dr
Marysville, OH 43040
Phone (937) 642-1026

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

1600 Saint Paris Pike
Springfield, OH 45504
Phone (937) 399-8131

375 W Main St
West Jefferson, OH 43162
Phone (614) 879-7604

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.

Hospital & facility affiliations 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1487602694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTWELL",
        "first_name": "ROBERT",
        "middle_name": "RUSSELL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34.003008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.