Provider Type Icon

DR. JON BRILLMAN MD NPI 1598765372


NPI Information

NPI: 1598765372
Provider Name: DR. JON BRILLMAN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: LEE MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
13782 PLANTATION RD STE 201
FORT MYERS, FL
ZIP 33912
Phone: (239) 343-1290
Get Directions

DR. Jon Brillman, MD is a neurology psychiatry neurology in Fort Myers, FL with 57 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Jon Brillman, MD NPI is 1598765372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13782 PLANTATION RD STE 201
FORT MYERS, FL
ZIP 33912-462
Phone: (239) 343-1290
Fax: (239) 343-4008

The NPI 1598765372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Measurement and recording of brain wave (EEG) activity, awake and drowsy (HCPCS:95816)
  • Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)

The enumeration date for this NPI number is 7/22/2005 and was last updated on 3/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyME102388FLORIDAYes
22084N0400XPsychiatry & NeurologyNeurologyMD-010476-EPENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001644200MEDICAIDFLORIDA
20270880MEDICAIDOHIO
30006234560004MEDICAIDPENNSYLVANIA
40006234560003MEDICAIDPENNSYLVANIA
50206609000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.