Individual
DAVID M BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19324 DETROIT RD, ROCKY RIVER, OH 44116-1802
(440) 356-3640
(440) 356-3729
Mailing address
19324 DETROIT RD, ROCKY RIVER, OH 44116-1802
(440) 356-3640
(440) 356-3729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000502409
ANTHEM BC/BS
OH
05
—
0702001
—
OH
01
—
341542312147
CARESOURCE
OH
01
—
P00705913
RAILROAD CARE
OH
Enumeration date
09/21/2006
Last updated
06/26/2009
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