Active NPI
Joseph James Brill IV, PA-C
- Physician Assistant
- Bend, OR
National Provider Identifier
1134639719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA187666
- Practice address
- 1501 NE Medical Center Dr
Bend, OR 97701-6099 - Phone
- (541) 382-4900
- NPI assigned
- Oct 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA187666 | OR | Primary |
Addresses
Primary practice location
1501 NE Medical Center Dr
Bend, OR 97701-6099
Mailing address
PO Box 6048
Bend, OR 97708-6048
Phone (541) 382-4900
Other practice location 1
108 NW Sisemore
Suite 120
Bend, OR 97703
Phone (541) 213-2133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500749669 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrill20282@directmsg.bmctotalcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 NE Medical Ctr Dr
Bend, OR 97701-6051
Phone (541) 382-2811
333 NW Larch Ave
Suite 2
Redmond, OR 97756-1186
Phone (541) 382-4900
815 SW Bond St
Bend, OR 97702-3593
Hospital & facility affiliations
- St Charles Medical Center - Bend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco, LLC | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Physician Assistant | Past | Accepting new patients |
Locations
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
108 NW Sisemore St
Ste 120
Bend, OR 97703
Phone (541) 213-2133
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Fossil, OR
- NPI 1811937485
-
- Urgent Care Clinic/Center
- Eugene, OR
- NPI 1407004757
-
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
-
- Physical Therapist
- Eugene, OR
- NPI 1528385754
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1134639719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6048",
"city": "BEND",
"state": "OR",
"postal_code": "977086048",
"telephone_number": "541-382-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 NE MEDICAL CENTER DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016099",
"telephone_number": "541-382-4900"
}
],
"practiceLocations": [
{
"address_1": "108 NW Sisemore",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "97703",
"country_code": "US",
"telephone_number": "541-213-2133",
"fax_number": "541-640-8107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRILL",
"first_name": "JOSEPH",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-09",
"last_updated": "2023-09-15",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA187666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500749669",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbrill20282@directmsg.bmctotalcare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1501 NE Medical Center Dr",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977016099",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.