Individual provider Active NPI

Joel Victor Brill, MD

  • Gastroenterology Physician
  • Paradise Valley, AZ
National Provider Identifier
1417952789
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25553 Issued in AZ
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260417002894 CA Practitioner - Internal Medicine 9335118975 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25553AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Medical Partners of California, P.C. CurrentSince Jun 14, 2021 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.

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

Verify at the official NPI Registry.