Individual provider Active NPI

Christopher Dirk Brill, ATC

  • Athletic Trainer
  • Richmond, VA
National Provider Identifier
1780921692
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126000384 Issued in VA
Practice address
7650 E Parham Rd
Mob II Suite 120
Richmond, VA 23294-4373
Phone
(804) 545-4952
Fax
(804) 545-4953
NPI assigned
Jan 11, 2013
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126000384 VA Primary

Addresses

Primary practice location

7650 E Parham Rd
Mob II Suite 120
Richmond, VA 23294-4373

Mailing address

7650 E Parham Rd
Mob II Suite 120
Richmond, VA 23294-4373
Phone (804) 545-4952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0126000384VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1780921692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD",
            "address_2": "MOB II SUITE 120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944373",
            "telephone_number": "804-545-4952",
            "fax_number": "804-545-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD",
            "address_2": "MOB II SUITE 120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944373",
            "telephone_number": "804-545-4952",
            "fax_number": "804-545-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "CHRISTOPHER",
        "middle_name": "DIRK",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.