NPIMap

Organization Active NPI

Leon R. Brill, D.P.M., F.a.C.F.a.S., P.a.

Doing business as North Texas Podiatric Medicine and Surgery

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1790083111
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0628 Issued in TX
Legal business name
LEON R. BRILL, D.P.M., F.A.C.F.A.S., P.A.
Doing business as
North Texas Podiatric Medicine and Surgery
Practice address
5481 Blair Rd
Dallas, TX 75231-4101
Phone
(214) 369-7400
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Leon R Brill, D.P.M.NPI 1992762280
Title
President
Phone
(214) 369-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0628 TX Primary

Addresses

Primary practice location

5481 Blair Rd
Dallas, TX 75231-4101

Mailing address

5481 Blair Rd
Dallas, TX 75231-4101
Phone (214) 369-7400

Other identifiers 1

IdentifierTypeStateIssuer
092803802MedicaidTX

Other names 1

  • North Texas Podiatric Medicine and Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1790083111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 BLAIR RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314101",
            "telephone_number": "214-369-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 BLAIR RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314101",
            "telephone_number": "214-369-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON R. BRILL, D.P.M., F.A.C.F.A.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-369-7400",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092803802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Podiatric Medicine and Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.