DR. OLUBUSOLA BRIMMO (NPI# 1346412426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346412426 |
| Entity Type | Individual |
| Full Name | DR. OLUBUSOLA BRIMMO |
| Credential | MD |
| Practice Address |
1100 Virginia St Rm 4056 Columbia MO 65212 |
| Mailing Address |
1100 Virginia St Rm 4056 Columbia MO 65212-0001 |
| Practice Telephone | 5738825731 |
| Mailing Telephone | 5738825731 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2015017078 | MO | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 297033 | NY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 074284 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 63117-20 | WI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 4301108442 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 01075497A | IN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 036139012 | IL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 130240 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 46121 | KY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 121471 | OH | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 60348545 | WA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0101244240 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI DIVISION OF PROFESSIONAL REGISTRATION | 2015017078 | 01 |
| Street Address |
1100 VIRGINIA ST RM 4056 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841673118 | Jayson Johnson | Orthopaedic Surgery | 1100 Virginia St Rm 4056, Columbia, MO 65212-0001 | 2015-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1578054383 | Michael Jefferson Spitnale | Orthopaedic Surgery | Orthopedic Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-29 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1053722652 | Thomas Jenner Huber | Orthopaedic Surgery | 3250 Pulaski Hwy, Columbia, TN 38401-8516 | 2014-05-16 |
| 1437597325 | Hari O Gupta | Orthopaedic Surgery | 10700 Charter Dr Ste 140, Columbia, MD 21044-3631 | 2013-06-13 |
| 1487901807 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2012-08-06 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.