Active NPI
Nils Viesturs Brolis, D.O.
- Family Medicine Physician
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB09374700
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 678445 | Other | NJ | MEDICARE |
| 0473570 | Medicaid | NJ |
Electronic endpoints 13
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rowan University School of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Urgicare LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Mullica Hill, NJ
- NPI 1255613329
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Urgent Care Clinic/Center
- Vineland, NJ
- NPI 1619320991
-
- Urgent Care Clinic/Center
- Vineland, NJ
- NPI 1144643909
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- 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.