MRS. MELISSA SUE BRILLIOTT


Address: 3851roger Brooke Drive, Brooke Army Medical Center, Fort Sam Houston, TX 78234
Phone: 2109166400

MRS. MELISSA SUE BRILLIOTT (NPI# 1114199916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114199916
Entity Type Individual
Full Name MRS. MELISSA SUE BRILLIOTT
Credential OTR/L
Practice Address 3851roger Brooke Drive
Brooke Army Medical Center
Fort Sam Houston
TX 78234
Mailing Address 2914 Olmos Creek Dr Apt 11208
San Antonio
TX 78230-5463
Practice Telephone 2109166400
Mailing Telephone 2102550970
Enumeration Date 2008-04-01
Last Update Date 2008-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider 112610 TX Other Service Providers

Office Location

Street Address 3851ROGER BROOKE DRIVE
BROOKE ARMY MEDICAL CENTER
City FORT SAM HOUSTON
State TX
Zip Code 78234

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255942884 Thomas Ballas Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 2020-08-17
1124657366 Wendy Harris Pharmacist 3041 Garden Ave, Fort Sam Houston, TX 78234 2020-04-08
1215564729 Travis Frantz Student in an Organized Health Care Education/Training Program 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 2020-03-25
1508492695 Matthew Grossmann Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 2020-03-20
1235793407 Jessica Maria May Franklin Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 2019-04-23
1730663477 Glen Snyder Military Health Care Provider 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 2018-09-19
1265919336 Ashley Elizabeth Malawey Military Health Care Provider 3222 Cpl Johnson Road, San Antonio, TX 78234 2018-07-23
1053805515 Rene Espinosa Social Worker San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 2018-06-19
1235622333 Melanie Edith Rivera Military Health Care Provider 3600 Roger Brooke Drive, San Antonio, TX 78234 2018-06-13
1063909158 Benjamin Walker Appelo General Practice San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 2018-04-16
Find all providers in zip 78234

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437149648 Gea M Miller Military Health Care Provider Brooke Army Medical Center, Attn: Mche-qd, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200 2005-10-27
1730179151 Ramon A Arroyo Military Health Care Provider 3151 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234 2005-10-26
1639787872 Kelly Peterson Military Health Care Provider 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2020-07-14
1043776347 Karen Thompson Military Health Care Provider 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2019-02-12
1023555257 Robyn Ruth Lombardo Military Health Care Provider 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2017-01-25
1851675565 Yvette Woods Military Health Care Provider 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 2011-09-30
1235300997 Jason Lee Judkins Military Health Care Provider 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 2008-03-20
1790978518 Jean Marie Coviello Military Health Care Provider 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2007-08-24
1609883925 Lise A. Cote Military Health Care Provider 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 2006-08-01
1528002227 David S Lidwell Military Health Care Provider 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2006-06-15
Find all providers in FORT SAM HOUSTON

Competitor

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City FORT SAM HOUSTON
Zip Code 78234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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