Active NPI
Joel Victor Brill, MD
- Gastroenterology Physician
- Paradise Valley, AZ
National Provider Identifier
1417952789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25553
- Practice address
- 3639 E Denton LN
Paradise Valley, AZ 85253-7508 - Phone
- (602) 418-8744
- Fax
- (480) 452-0424
- NPI assigned
- Jun 14, 2005
- Last updated
- Dec 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25553 | AZ | Primary |
Addresses
Primary practice location
3639 E Denton LN
Paradise Valley, AZ 85253-7508
Mailing address
3639 E Denton LN
Paradise Valley, AZ 85253-7508
Phone (602) 418-8744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3639 E Denton LN
Paradise Valley, AZ 85253-7508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25553 | AZ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtual Medical Partners of California, P.C. | Current | Accepting new patients | |
| Hello Heart Inc | Current | Accepting new patients |
Locations
545 Middlefield Rd
Ste 220
Menlo Park, CA 94025
Phone (512) 779-7276
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Menlo Park, CA
- NPI 1619439031
-
- Internal Medicine Physician
- Wilmington, DE
- NPI 1104498260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1417952789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3639 E DENTON LN",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852537508",
"telephone_number": "602-418-8744",
"fax_number": "480-452-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3639 E DENTON LN",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852537508",
"telephone_number": "602-418-8744",
"fax_number": "480-452-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILL",
"first_name": "JOEL",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "25553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.