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NPI Code Detail

MEDICARE: BRILSILCO INC

MEDICARE: BRILSILCO INC
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
1332B00000XDurable Medical Equipment & Medical Supplies528 BOARD FOR CERTIF

General Provider Information

NPI Number : 1801954359
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRILSILCO INC
Provider Business Mailing Address
First Line : 1367 E HIGHLAND AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-4640
Country : US
Telephone Number : 909-882-2116
Fax Number : 909-881-5900
Provider Business Practice Location Address
First Line : 1367 E HIGHLAND AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-4640
Country : US
Telephone Number : 909-882-2116
Fax Number : 909-881-5900
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : TANYA MICHELLE GARDNER
Credential : CERTIFIED PEDORTHIST
Telephone Number : 909-882-2116
Provider Enumeration Date : 12/05/2006
Last Update Date : 03/24/2026

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Directions to “BRILSILCO INC ” Practice Location

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