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General NPI Number Information
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NPI Number | 1588992390
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Entity Type | Organization
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Legal Business Name | BRIAN D BRILL DC PLLC
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 5001 4TH ST N SUITE #2
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City | ST PETERSBURG
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State | FL
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Zip | 33703-2901
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Country | US
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Telephone | 727-278-1318
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Fax |
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Provider Business Mailing Address
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Address Line | 540 CARILLON PKWY SUITE #2128
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City | ST PETERSBURG
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State | FL
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Zip | 33716-1204
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Country | US
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Telephone | 727-278-1318
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN DAVID BRILL
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Credential | D.C.
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Telephone | 727-278-1318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 9753
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License Number State | FL
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