Individual
BRIAN E CAMILLERI
Active
Individual
BRIAN E CAMILLERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02004616A
IN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
02004616A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
02004616A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201396880
—
IN
01
—
207610023
MEDICARE
IN
Enumeration date
01/21/2011
Last updated
12/11/2025
Update your record
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