Organization Active NPI

The Physicians Integrated Network, LLC

  • Specialist
  • King of Prussia, PA
National Provider Identifier
1437755956
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE PHYSICIANS INTEGRATED NETWORK, LLC
Practice address
630 Freedom Business Ctr Dr FL 3
King of Prussia, PA 19406-1331
Phone
(484) 686-1008
NPI assigned
Dec 9, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Stuart Aaron Brilliant, MD
Title
Medical Director/Vice Chair Tpin
Phone
(484) 686-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

630 Freedom Business Ctr Dr FL 3
King of Prussia, PA 19406-1331

Mailing address

630 Freedom Business Ctr Dr FL 3
King of Prussia, PA 19406-1331
Phone (484) 686-1008

National Provider Directory

National Provider Directory

Locations

56 W Main St
Ste 305
Christiana, DE 19702

630 Freedom Business Ctr Dr
Apt FI3
King of Prussia, PA 19406
Phone (302) 444-4733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1437755956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FREEDOM BUSINESS CTR DR FL 3",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061331",
            "telephone_number": "484-686-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FREEDOM BUSINESS CTR DR FL 3",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061331",
            "telephone_number": "484-686-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICIANS INTEGRATED NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "BRILLIANT",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/VICE CHAIR TPIN",
        "authorized_official_telephone_number": "484-686-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.