Healthcare Provider Details

I. General information

NPI: 1558381368
Provider Name (Legal Business Name): STEPHEN A. BRILES RN, MSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5236 VALDEZ CIRCLE, BUILDING 5236 US ARMY HEALTH CLINIC - DUGWAY PROVING GROUND
DUGWAY UT
84022
US

IV. Provider business mailing address

1650 COCHRANE CIR., ATTN: CREDENTIALS OFFICE EVANS ARMY COMMUNITY HOSPITAL (EACH) USA MEDDAC
FORT CARSON CO
80913-4604
US

V. Phone/Fax

Practice location:
  • Phone: 435-831-2941
  • Fax:
Mailing address:
  • Phone: 719-526-7844
  • Fax: 719-526-7984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201540-3102
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number201540-3102
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License Number201540-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: