Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley A. Otto, MD

Individual provider Surgery Physician · NPI 1114969185

Bradley A. Otto, MD is an Otolaryngology in Columbus, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2002, 24 years ago. Practices with Osu Otolaryngology Head and Neck Surgery LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
24
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

915 Olentangy River Rd Ste 4000
Columbus, OH 43212-3154
Phone: (614) 366-3687
Fax: (614) 293-6176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 35084019 (OH)
Surgery Physician Taxonomy 208600000X · Licence 35084019 (OH)

Record details

NPI number1114969185
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Osu Otolaryngology Head And Neck Surgery Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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