Peter William Brill, MD.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD24184 Issued in OR

Practice address

Angell Job Corps
335 N.E. Blodgett Rd
Yachats, OR 97498

Phone

(541) 547-5629

Fax

(541) 547-5691

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Acute Care Specialists, Inc.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1447294640
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1720168263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N.E. BLODGETT RD ANGELL JOB CORPS",
            "city": "YACHATS",
            "state": "OR",
            "postal_code": "97498",
            "telephone_number": "541-547-5629",
            "fax_number": "541-547-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANGELL JOB CORPS",
            "address_2": "335 N.E. BLODGETT RD",
            "city": "YACHATS",
            "state": "OR",
            "postal_code": "97498",
            "telephone_number": "541-547-5629",
            "fax_number": "541-547-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD24184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Edward-John Bukovsky
• Judy Marie Edmunds, CPM LDM
• Norma Houchin Elliott, CCC-SLP
• Bruce Prentiss Ladd, LAC
• Pierre Morin, PH.D.

• Emergency Medicine Physician in Yachats, OR
• Providers in Yachats, OR by specialty
• Emergency Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.