Individual provider Active NPI

Nils Viesturs Brolis, D.O.

  • Family Medicine Physician
  • Sewell, NJ
National Provider Identifier
1821385774
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09374700 Issued in NJ
Practice address
1474 Tanyard Road
Suite D100
Sewell, NJ 08080
Phone
(856) 566-6265
Fax
(856) 566-6185
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09374700 NJ Primary

Addresses

Primary practice location

1474 Tanyard Road
Suite D100
Sewell, NJ 08080

Mailing address

1474 Tanyard Rd Ste D100
Sewell, NJ 08080-4222
Phone (856) 566-6265

Other practice location 1

1474 Tanyard Road
Suite D102
Sewell, NJ 08080
Phone (856) 566-7045

Other practice location 2

570 Egg Harbor Rd Ste C2-D
Sewell, NJ 08080-2359
Phone (856) 218-0300

Other practice location 3

602 W. Cuthbert Blvd
Unit 26 Suite A
Westmont, NJ 08108
Phone (856) 946-5180

Other practice location 4

239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005
Phone (856) 341-8200

Other practice location 5

141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615
Phone (856) 746-0206

Other practice location 6

555 High St Ste 16A
Mount Holly, NJ 08060-1084
Phone (609) 444-5610

Other practice location 7

854 S White Horse Pike Unit 4
Hammonton, NJ 08037-2033
Phone (609) 704-0185

Other practice location 8

158 Route 73 Ste B
Voorhees, NJ 08043-9539
Phone (856) 247-7230

Other practice location 9

42 E Laurel Rd Ste 2100-A
Stratford, NJ 08084-1354
Phone (856) 566-7020

Other practice location 10

100 Century Pkwy Ste 140
Mount Laurel, NJ 08054-1149
Phone (856) 380-2400

Other practice location 11

315 Route 70 E Ste A
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

Other practice location 12

128 Route 70 Ste 1
Medford, NJ 08055-2371
Phone (609) 367-0900

Other practice location 13

401 Young Avenue
Suite 180 Front
Moorestown, NJ 08057
Phone (856) 291-8600

Other identifiers 2

IdentifierTypeStateIssuer
678445OtherNJMEDICARE
0473570MedicaidNJ

Electronic endpoints 13

TypeEndpointUseAffiliation
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org
Direct Messaging Address nbrolis249061@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140715000312 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2163647769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Rowan University School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians

Practice addresses (Care Compare)

141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062-2615
Phone (856) 746-0206

1474 Tanyard Rd
Sewell, NJ 08080-4222

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 582-1500

239 Hurffville Crosskeys Rd
Sewell, NJ 08080-4002

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Urgicare LLC PastSince Jul 1, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nbrolis249061@directvirtua.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821385774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 TANYARD RD STE D100",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804222",
            "telephone_number": "856-566-6265",
            "fax_number": "856-566-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 TANYARD ROAD",
            "address_2": "SUITE D100",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-566-6265",
            "fax_number": "856-566-6185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite D102",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "08080",
            "country_code": "US",
            "telephone_number": "856-566-7045",
            "fax_number": "856-566-6850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Egg Harbor Rd Ste C2-D",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "856-218-0300",
            "fax_number": "856-589-5082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W. Cuthbert Blvd",
            "address_2": "Unit 26 Suite A",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "NJ",
            "postal_code": "08108",
            "country_code": "US",
            "telephone_number": "856-946-5180",
            "fax_number": "856-946-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804005",
            "country_code": "US",
            "telephone_number": "856-341-8200",
            "fax_number": "856-341-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Bridgeton Pike Unit B",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622615",
            "country_code": "US",
            "telephone_number": "856-746-0206",
            "fax_number": "856-746-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 High St Ste 16A",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080601084",
            "country_code": "US",
            "telephone_number": "609-444-5610",
            "fax_number": "609-444-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "854 S White Horse Pike Unit 4",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080372033",
            "country_code": "US",
            "telephone_number": "609-704-0185",
            "fax_number": "609-704-0195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Route 73 Ste B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439539",
            "country_code": "US",
            "telephone_number": "856-247-7230",
            "fax_number": "856-247-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 E Laurel Rd Ste 2100-A",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-566-7020",
            "fax_number": "856-566-6188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Century Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541149",
            "country_code": "US",
            "telephone_number": "856-380-2400",
            "fax_number": "856-234-7870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Route 70 E Ste A",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-375-6240",
            "fax_number": "856-375-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Route 70 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552371",
            "country_code": "US",
            "telephone_number": "609-367-0900",
            "fax_number": "609-367-0901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Avenue",
            "address_2": "Suite 180 Front",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "08057",
            "country_code": "US",
            "telephone_number": "856-291-8600",
            "fax_number": "856-291-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROLIS",
        "first_name": "NILS",
        "middle_name": "VIESTURS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09374700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "678445",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473570",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "602 W. Cuthbert Blvd",
            "address_2": "Unit 26 Suite A",
            "city": "Westmont",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Avenue",
            "address_2": "Suite 180 Front",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "555 High St Ste 16A",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080601084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "141 Bridgeton Pike Unit B",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080622615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "854 S White Horse Pike Unit 4",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080372033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Century Pkwy Ste 140",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080541149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite D102",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "570 Egg Harbor Rd Ste C2-D",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080802359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 2100-A",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "128 Route 70 Ste 1",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080552371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "315 Route 70 E Ste A",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrolis249061@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite D100",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.