MEDICARE: BRILLIANT CARE ACCESS MEDICAL GROUP NJ P.A.

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	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1508705096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRILLIANT CARE ACCESS MEDICAL GROUP NJ P.A.

Provider Business Mailing Address
First Line	:	7400 BEAUFONT SPRING DR STE 415
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-5519
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 BEAUFONT SPRING DR STE 415
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-5519
Country	:	US
Telephone Number	:	310-683-8538
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANEEL URSANI
Credential	:	MD
Telephone Number	:	310-683-8538

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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