MEDICARE: DR. BRIAN K REILLY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	238459	MA
2	207YP0228X	Pediatric Otolaryngology Physician	D0070469	MD
3	207YP0228X	Pediatric Otolaryngology Physician	0101247020	VA
4	207YP0228X	Pediatric Otolaryngology Physician	MD038620	DC
5	207Y00000X	Otolaryngology Physician	125047836	IL
6	207YP0228X	Pediatric Otolaryngology Physician	35C.003680	OH

General Provider Information

NPI Number	:	1497911184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN K REILLY MD

Provider Business Mailing Address
First Line	:	111 MICHIGAN AVE NW
Second Line	:	DEPARTMENT OF OTOLARYNGOLOGY
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2916
Country	:	US
Telephone Number	:	202-476-2159
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 MICHIGAN AVE NW
Second Line	:	DEPARTMENT OF OTOLARYNGOLOGY
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2916
Country	:	US
Telephone Number	:	202-476-2159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2008
Last Update Date	:	03/04/2026

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