Healthcare Provider Details

I. General information

NPI: 1700464344
Provider Name (Legal Business Name): RILEY JAMES BRAZIL MD/MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N 29TH ST
BILLINGS MT
59101-0905
US

IV. Provider business mailing address

115 SHILOH RD UNIT 2412
BILLINGS MT
59106-2760
US

V. Phone/Fax

Practice location:
  • Phone: 425-802-0305
  • Fax:
Mailing address:
  • Phone: 406-238-5376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMED-PHYS-LIC-143829
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMED-PHYS-LIC-143829
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: