Individual provider Active NPI

Suzanne Elizabeth Brill, PAC

  • Physician Assistant
  • York, PA
National Provider Identifier
1104885631
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050697 Issued in PA
Practice address
1550 Rodney Road
York, PA 17408
Phone
(717) 846-8791
Fax
(717) 846-8410
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050697 PA Primary

Addresses

Primary practice location

1550 Rodney Road
York, PA 17408

Mailing address

1550 Rodney Road
York, PA 17408
Phone (717) 846-8791

Other identifiers 2

IdentifierTypeStateIssuer
417628OtherPAPA BS
03164801OtherPAPA BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA050697PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Family Health, PC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2159 White St
York, PA 17404
Phone (717) 432-5430

1550 Rodney Rd
York, PA 17408
Phone (717) 846-8791

Interoperability endpoints

  • Direct secure messaging: suzanne.brill@19320510742532.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1104885631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 RODNEY ROAD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17408",
            "telephone_number": "717-846-8791",
            "fax_number": "717-846-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RODNEY ROAD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17408",
            "telephone_number": "717-846-8791",
            "fax_number": "717-846-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS",
            "identifier": "417628",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BC",
            "identifier": "03164801",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.