Active NPI
Ronald Woodrow Brill II, PH.D.
- Clinical Psychologist
- Bristol, VA
National Provider Identifier
1811065980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002356
- Practice address
- 800 Euclid Ave
Bristol, VA 24201-3916 - Phone
- (276) 591-1122
- Fax
- (276) 591-1150
- NPI assigned
- Nov 30, 2006
- Last updated
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810002356 | VA | Primary |
Addresses
Primary practice location
800 Euclid Ave
Bristol, VA 24201-3916
Mailing address
800 Euclid Ave
Bristol, VA 24201-3916
Phone (276) 591-1122
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056271 | Other | TRIGON | |
| 87726 | Other | UNITED BEHAVIORAL HEALTH | |
| 007727 | Other | VALUE OPTIONS | |
| 4037975 | Other | BC BS TN | |
| 056271 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1811065980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 EUCLID AVE",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013916",
"telephone_number": "276-591-1122",
"fax_number": "276-591-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 EUCLID AVE",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013916",
"telephone_number": "276-591-1122",
"fax_number": "276-591-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILL",
"first_name": "RONALD",
"middle_name": "WOODROW",
"name_suffix": "II",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON",
"identifier": "056271",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "87726",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "007727",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS TN",
"identifier": "4037975",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "056271",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.