Individual provider Active NPI

Kristin L Brill, MD

  • Surgical Oncology Physician
  • Camden, NJ
National Provider Identifier
1699706598
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD073364L Issued in PA
Practice address
3 Cooper PLZ
Suite 411
Camden, NJ 08103-1438
Phone
(856) 342-2270
Fax
(856) 365-1180
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X MD073364L PA Primary
Surgery Physician 208600000X 25MA07237800 NJ

Addresses

Primary practice location

3 Cooper PLZ
Suite 411
Camden, NJ 08103-1438

Mailing address

1100 Walnut Street
Mob 5TH Floor
Philadelphia, PA 19107-5563
Phone (215) 955-6750

Other identifiers 1

IdentifierTypeStateIssuer
MA07237800OtherNJNJ STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080714000055 NJ Practitioner - General Surgery 5496827172 Reassigns benefits to 3 organizations
I20080723000472 PA Practitioner - General Surgery 5496827172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians
Kennedy Medical Group Practice, P.C.Group PAC ID 2860616877, 417 clinicians

Practice addresses (Care Compare)

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

165 Princeton Ave
West Deptford, NJ 08096-3123
Phone (844) 542-2273

2301 S Broad St
Philadelphia, PA 19148-3542

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Voorhees, NJ, CCN 317073
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy54
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD073364LPAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice, P.C. CurrentSince Jun 15, 2021 Accepting new patients
Cooper University Trauma Physicians, PC CurrentSince Dec 17, 2014 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 1, 2020 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Feb 1, 2020 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Jan 17, 2010 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 1, 2020 Accepting new patients
Kennedy Medical Group Practice P.C. CurrentSince Feb 1, 2020 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

2211 Chapel Ave W
Ste 301
Cherry Hill, NJ 08002
Phone (844) 309-7708

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

400 Medical Center Dr
Ste F
Sewell, NJ 08080
Phone (856) 256-7705

443 Laurel Oak Rd
Ste 100
Voorhees, NJ 08043
Phone (215) 955-5050

165 Princeton Ave
West Deptford, NJ 08096
Phone (856) 384-0210

1101 Chestnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 955-8084

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1699706598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WALNUT STREET",
            "address_2": "MOB 5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075563",
            "telephone_number": "215-955-6750",
            "fax_number": "215-923-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 411",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2270",
            "fax_number": "856-365-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MD073364L",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07237800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LICENSE",
            "identifier": "MA07237800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.