Active NPI
Brilsilco Inc
- Durable Medical Equipment & Medical Supplies
- San Bernardino, CA
National Provider Identifier
1801954359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Brilsilco Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930100162 | CA | DME Supplier - Certified Orth/Pros/Pedorthist | 9537289046 | Practice locations: San Bernardino, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Brill'S Shoes | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Limb Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.