Individual
DR. JASON BRADLEY BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-5312
Mailing address
SURG CO B 3D MEDICAL BN, BOX 63038, MCBH KANEOHE BAY, HI 96863
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208600000X
Surgery Physician
2011-01265
NC
2086S0127X
Trauma Surgery Physician
Primary
MD-21438
HI
2086S0127X
Trauma Surgery Physician
R9578
TX
Other
Enumeration date
06/16/2010
Last updated
08/05/2021
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