Individual
BRYAN FILL
Active
Individual
BRYAN FILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041375998
IL
363LF0000X
Family Nurse Practitioner
Primary
277000896
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400228277
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
07/18/2014
Last updated
08/07/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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