Rafael C Brillantes, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301032396 Issued in MI

Practice address

426 N Jackson St
Jackson, MI 49201-1235

Phone

(517) 788-6446

Fax

(517) 788-9035

NPI assigned

Oct 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932197324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492040891",
            "telephone_number": "517-788-6446",
            "fax_number": "517-788-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N JACKSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011235",
            "telephone_number": "517-788-6446",
            "fax_number": "517-788-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILLANTES",
        "first_name": "RAFAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301032396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4179588",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "0420044",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C1798",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "1103842782",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Kathryn Brickner, PA-C
• Bridges to Health Therapy Services Inc
• Eva Marie Briggs, MHC
• Kenneth C Briggs, R.PH.
• Lawson Nolen Bright-Mitchell
• Douglas Laverne Brinker
• Nicole D Bristow, PT, DPT
• Synthia Britton, LLMSW
• Eric Mitchell Britz, MA,LPC,CAADC,SAP
• Clayton Brockelman

• Internal Medicine Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.