Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 01032517A | IN |
NPI | 1023031812 |
---|---|
Provider Name | James H Brillhart |
First Address | Indianapolis, IN 46256-5604 |
Second Address | Indianapolis, IN 46256-5604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 28/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000737038 | ANTHEM (01) | IN |
1023031812 | (05) | IN |
40104129 | AETNA (01) | IN |
6605494 | CIGNA (01) | IN |
B29762 | (02) | IN |
P00241909 | MEDICARE RAILROAD (01) | IN |