Active NPI
Stuart A Brilliant, MD
- Emergency Medicine Physician
- Paoli, PA
National Provider Identifier
1295708667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD070518L
- Practice address
- 255 W Lancaster Ave
Paoli, PA 19301 - Phone
- (484) 565-1043
- Fax
- (484) 565-1415
- NPI assigned
- Feb 8, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD070518L | PA | Primary |
Addresses
Primary practice location
255 W Lancaster Ave
Paoli, PA 19301
Mailing address
1572 Wilmington Pike
Suite 1
West Chester, PA 19382-8371
Phone (610) 459-3278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001801338004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transcare ML, Inc. | Past | Accepting new patients | |
| Immediate Medical Care of Pennsylvania, LP | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Paoli, PA
- NPI 1316919368
-
- Emergency Medicine Physician
- West Chester, PA
- NPI 1205954856
-
- Land Ambulance
- Egg Harbor Township, NJ
- NPI 1265730121
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": "1296691200000",
"number": "1295708667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1572 WILMINGTON PIKE",
"address_2": "SUITE 1",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193828371",
"telephone_number": "610-459-3278",
"fax_number": "610-459-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "19301",
"telephone_number": "484-565-1043",
"fax_number": "484-565-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILLIANT",
"first_name": "STUART",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD070518L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001801338004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.