Organization Active NPI

Brilsilco Inc

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
National Provider Identifier
1801954359
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
528 BOARD FOR CERTIF
Legal business name
BRILSILCO INC
Practice address
1367 E Highland Ave
San Bernardino, CA 92404-4640
Phone
(909) 882-2116
Fax
(909) 881-5900
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Tanya Michelle Gardner, CERTIFIED PEDORTHIST
Title
President/Owner
Phone
(909) 882-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 528 BOARD FOR CERTIF Primary

Addresses

Primary practice location

1367 E Highland Ave
San Bernardino, CA 92404-4640

Mailing address

1367 E Highland Ave
San Bernardino, CA 92404-4640
Phone (909) 882-2116

Other names 2

  • Brills Shoes Doing business as
  • Brilsilco Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930100162 CA DME Supplier - Certified Orth/Pros/Pedorthist 9537289046 Practice locations: San Bernardino, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brill'S Shoes1367 E Highland Ave, San Bernardino, CA 92404-4640(909) 882-2116 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Limb Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1367 E Highland Ave
Sn Bernrdno, CA 92404
Phone (909) 882-2116

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1801954359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 E HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044640",
            "telephone_number": "909-882-2116",
            "fax_number": "909-881-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 E HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044640",
            "telephone_number": "909-882-2116",
            "fax_number": "909-881-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILSILCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-882-2116",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "528 BOARD FOR CERTIF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brills Shoes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brilsilco Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.