Organization Active NPI

Harvey P Brilliant, MD, PA

  • Specialist
  • Glen Burnie, MD
National Provider Identifier
1831379866
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D31608 Issued in MD
Legal business name
HARVEY P BRILLIANT, MD, PA
Practice address
7102 Ritchie Hwy
Lower Level
Glen Burnie, MD 21061-2904
Phone
(410) 789-1111
Fax
(410) 760-8321
NPI assigned
Nov 7, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Harvey P Brilliant, MD
Title
Owner/President
Phone
(410) 789-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D31608 MD Primary

Addresses

Primary practice location

7102 Ritchie Hwy
Lower Level
Glen Burnie, MD 21061-2904

Mailing address

7102 Ritchie Hwy
Lower Level
Glen Burnie, MD 21061-2904
Phone (410) 789-1111

National Provider Directory

National Provider Directory

Locations

7102 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 761-6050

7102 Ritchie Hwy
Ste 1
Glen Burnie, MD 21061
Phone (410) 789-1111

7102 Ritchie Hwy
Lowr
Glen Burnie, MD 21061
Phone (410) 789-1111

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1831379866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 RITCHIE HWY",
            "address_2": "LOWER LEVEL",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612904",
            "telephone_number": "410-789-1111",
            "fax_number": "410-760-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 RITCHIE HWY",
            "address_2": "LOWER LEVEL",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612904",
            "telephone_number": "410-789-1111",
            "fax_number": "410-760-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY P BRILLIANT, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "BRILLIANT",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-789-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D31608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.