Dr. Peter William Brill, MD.
Emergency Medicine in Yachats, OR. Individual provider (NPI-1).
NPI number1720168263
StatusActive
Last updated in NPPESSep 8, 2022
Details
- NPI
- 1720168263
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter William Brill
- Credential
- MD.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2006
- Certification date
- Sep 8, 2022
- Last updated
- Sep 8, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD24184 | OR | Yes |
Practice location
Angell Job Corps335 N.E. Blodgett Rd
Yachats, OR 97498
Phone 541-547-5629 · Fax 541-547-5691
Mailing address
335 N.E. Blodgett Rd Angell Job CorpsYachats, OR 97498
Phone 541-547-5629 · Fax 541-547-5691
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