Raymondlee Blake Brill

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

3490016398 Issued in IN

Practice address

6811 Shelley CT
Indianapolis, IN 46219-6236

Phone

(317) 498-2837

NPI assigned

Dec 29, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1104695345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 SHELLEY CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196236",
            "telephone_number": "317-498-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 SHELLEY CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196236",
            "telephone_number": "317-498-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "RAYMONDLEE",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "3490016398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann L Briles, LSW
• Karli Briles
• Caroline Brill, TBLV
• Margaret Brill, RN
• Michael S Brill
• James H Brillhart, MD
• Charles B Brimmer, DO
• Michelle Renee Brimner, SLP
• Jonathan S Brindle, RBT
• Duncan C Brindley, MD

• Non-emergency Medical Transport (VAN) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.