DR. JASON BRADLEY BRILL (NPI# 1851612683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851612683 |
| Entity Type | Individual |
| Full Name | DR. JASON BRADLEY BRILL |
| Credential | M.D. |
| Practice Address |
Bldg H 2005 Knight Ln Navy Medicine Support Command, Attn Medical Staff Serv Jacksonville FL 32212 |
| Mailing Address |
6431 Fannin St Ste Msb 4020 Houston TX 77030-1501 |
| Practice Telephone | 6195327577 |
| Mailing Telephone | 7135007200 |
| Mailing Fax Number | 7134860971 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2011-01265 | NC | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
R9578 | TX | Allopathic & Osteopathic Physicians |
| N | 171000000X | Military Health Care Provider | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6431 Fannin St Ste Msb 4020, Houston, TX 770301501 | 7135007200 | 7134860971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063793370 | Jason Brill | Social Worker | 1 Industries Drive, Norfolk, MA 02056 | 2011-08-31 |
| 1467831966 | Jason Brill | Family Medicine | 3401 N Center St, Ste 100, Lehi, UT 84043-7498 | 2015-05-29 |
| Street Address |
BLDG H 2005 KNIGHT LN NAVY MEDICINE SUPPORT COMMAND, ATTN MEDICAL STAFF SERV |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588930457 | Aaron Bernadette | Student in an Organized Health Care Education/Training Program | Bldg H 2005 Knight Ln, Jacksonville, FL 32212-0140 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1922577626 | Grettel Wentling | Surgery | 7915 Turnstone Cir E, Jacksonville, FL 32256-2358 | 2018-11-26 |
| 1083030977 | Min Li Xu | Surgery | 2 Shircliff Way Ste 500, Jacksonville, FL 32204-4763 | 2014-03-15 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1437414935 | Daniel Richard Martin | Surgery | 4205 Belfort Rd Ste 3030, Jacksonville, FL 32216-1474 | 2012-07-10 |
| 1356602221 | Jan-michael Van Gent | Surgery | Navy Medicine Support Command Attn: Medical Staff Serv., Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2012-06-06 |
| 1710245840 | Lenka Zachar Md Plc | Surgery | 3 Shircliff Way Ste 500, Jacksonville, FL 32204-4757 | 2012-04-26 |
| 1992015812 | Ashok Roychoudhury, M.d., P.a. | Surgery | 2032a Southside Blvd, Jacksonville, FL 32216-1944 | 2010-10-13 |
| 1558682054 | Jonathan Robert Gower | Surgery | Bldg H 2005 Knight Lane, Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2010-06-18 |
| 1144541152 | Matthew Thomas Smith | Surgery | 14540 Old Saint Augustine Rd Ste 2571, Jacksonville, FL 32258-7420 | 2010-06-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
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| 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.