NPIMap

Individual provider Active NPI

Jon Christopher Brillhart, PA-C

  • Physician Assistant
  • Portsmouth, VA
National Provider Identifier
1417959693
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001199 Issued in VA
Practice address
2929 London Blvd
Portsmouth, VA 23707-3405
Phone
(757) 397-1201
Fax
(757) 398-0809
NPI assigned
Jun 1, 2005
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001199 VA Primary
Surgical Physician Assistant 363AS0400X 0110001199 VA

Addresses

Primary practice location

2929 London Blvd
Portsmouth, VA 23707-3405

Mailing address

PO Box 7429
Portsmouth, VA 23707-0429
Phone (785) 767-3050

Other practice location 1

5486 Indian River Rd
Virginia Beach, VA 23464-5365
Phone (757) 424-2490

Other practice location 2

1800 Camelot Dr Ste 300
Virginia Beach, VA 23454-2440
Phone (757) 321-3300

Other identifiers 1

IdentifierTypeStateIssuer
010073871MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000489 VA Practitioner - Physician Assistant 8729973524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

1040 University Blvd
Portsmouth, VA 23703-2650

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

3300 High St
Suite 1
Portsmouth, VA 23707-3321
Phone (757) 673-5680

930 W 21St St
Norfolk, VA 23517-1516

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001199VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Aug 1, 2024 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Aug 1, 2024 Accepting new patients
Valley Rehabilitation Inc PC Past Accepting new patients
Portsmouth Orthopaedic Associates, Inc. Past Accepting new patients
Midatlantic Spine Specialists P C Past Accepting new patients

Locations

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1800 Camelot Dr
Ste 300
Virginia Beach, VA 23454
Phone (757) 321-3383

230 Clearfield Ave
Ste 124
Virginia Beach, VA 23462
Phone (757) 321-3383

Interoperability endpoints

  • Direct secure messaging: jbrillhart1149720@direct.bsmhealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1417959693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7429",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070429",
            "telephone_number": "785-767-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 LONDON BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073405",
            "telephone_number": "757-397-1201",
            "fax_number": "757-398-0809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5486 Indian River Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234645365",
            "country_code": "US",
            "telephone_number": "757-424-2490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Camelot Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542440",
            "country_code": "US",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRILLHART",
        "first_name": "JON",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001199",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110001199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010073871",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5486 Indian River Rd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234645365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.