Individual provider Active NPI

Matthew Phillip Brill, D.O.

  • Diagnostic Radiology Physician
  • Atlantis, FL
National Provider Identifier
1184993776
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS14534 Issued in FL
Practice address
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone
(561) 601-9191
NPI assigned
Dec 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5190 OK
Student in an Organized Health Care Education/Training Program 390200000X UO2767 FL
Diagnostic Radiology Physician 2085R0202X 39072 SC
Diagnostic Radiology Physician 2085R0202X OS14534 FL Primary

Addresses

Primary practice location

5301 S Congress Ave
Atlantis, FL 33462-1149

Mailing address

5301 S Congress Ave
Atlantis, FL 33462-1149

Other practice location 1

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171002000483 FL Practitioner - Diagnostic Radiology 1557655305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

13940 N US Hwy 441 201
Simonmed Imaging the Villages
The Villages, FL 32159-8909
Phone (352) 241-7448

1405 NE 4TH Ave
Boca Raton, FL 33432-1901
Phone (904) 399-5550

1639 N Volusia Ave
Simonmed Imaging Orange City
Orange City, FL 32763-3843
Phone (386) 774-7226

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

211 N 1St St
Simonmed Imaging Leesburg
Leesburg, FL 34748-5150
Phone (352) 241-7446

6250 Lake Osprey Dr
Suite 100
Lakewood Ranch, FL 34240-8423
Phone (941) 957-9340

730 Goodlette Rd
Suite 101
Naples, FL 34102-5617
Phone (239) 307-0234

840 Dr Martin Luther King Jr St N
Simonmed Imaging St Petersburg
St Petersburg, FL 33705-1214
Phone (727) 440-8250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39072SCMDDiagnostic Radiology Physician
UO2767FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jan 31, 2026 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Oct 22, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

10151 Entrprs Cntr Blvd
Ste 109
Boynton Beach, FL 33437
Phone (561) 600-3019

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

730 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 262-5151

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1184993776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "561-601-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258908",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRILL",
        "first_name": "MATTHEW",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-28",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "5190",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO2767",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "39072",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS14534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.