Individual provider Active NPI

Alan Howard Brill, MD

  • Otolaryngology Physician
  • Columbia, SC
National Provider Identifier
1033182399
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
8115 Issued in SC
Practice address
3 Richland Medical Park
Suite 130
Columbia, SC 29203-6850
Phone
(803) 744-7770
Fax
(803) 744-7776
NPI assigned
Feb 8, 2006
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 8115 SC Primary

Addresses

Primary practice location

3 Richland Medical Park
Suite 130
Columbia, SC 29203-6850

Mailing address

3 Richland Medical Park
Suite 130
Columbia, SC 29203-6850
Phone (803) 744-7770

Other identifiers 1

IdentifierTypeStateIssuer
081155MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20111121000517 SC Practitioner - Otolaryngology 4183676562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Chicago College of Medicine and Surgery, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Richland Medical Park Dr
Suite 130
Columbia, SC 29203-6850
Phone (803) 744-7770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Ear Nose and Throat Otolaryngology CurrentSince Jun 11, 1996 Accepting new patients
Smythe Rich MD PA Otolaryngology Current Accepting new patients

Locations

3 Richland Medical Park Dr
Ste 130
Columbia, SC 29203
Phone (803) 744-7770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1033182399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK",
            "address_2": "SUITE 130",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036850",
            "telephone_number": "803-744-7770",
            "fax_number": "803-744-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK",
            "address_2": "SUITE 130",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036850",
            "telephone_number": "803-744-7770",
            "fax_number": "803-744-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "ALAN",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "8115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081155",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.