Brian J Gillis DO PA

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

1513 Issued in ME

Legal business name

BRIAN J GILLIS DO PA

Practice address

8 Water St
Suite 2
Oakland, ME 04963-4956

Phone

(207) 465-3003

Fax

(207) 465-7352

NPI assigned

Oct 30, 2014

Last updated

Oct 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Gillis, DONPI 1386711877

Title

Owner/Provider

Phone

(207) 465-3003

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Brian J Gillis DO PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brian J Gillis Dopa

  • Colon & Rectal Surgery Physician
  • Oakland, ME
  • NPI 1871526376
  NPD tax ID

Locations

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.

• Brian Gillis, DO

  • Colon & Rectal Surgery Physician
  • Oakland, ME
  • NPI 1386711877
  NPD (past) Authorized official

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1790180933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WATER ST",
            "address_2": "SUITE 2",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634956",
            "telephone_number": "207-465-3003",
            "fax_number": "207-465-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WATER ST",
            "address_2": "SUITE 2",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634956",
            "telephone_number": "207-465-3003",
            "fax_number": "207-465-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J GILLIS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "207-465-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "ME",
            "license": "1513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER NPI ONLY",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jean Berry, D.M.D.
• Hope Blais, PMHNP-BC
• Rebecca Lee Borman, COTA/L
• Aaron Boumil, PT
• Susan Bovie
• Brian J Gillis Dopa
• Meredyth Ann Browning, MA, CCC-SLP
• Rocio Veronica Carbona, PA-C
• Gary M Chaloult, NP
• Helen Chapaykin, RPH

• Colon & Rectal Surgery Physician in Oakland, ME
• Providers in Oakland, ME by specialty
• Colon & Rectal Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.