MEDICARE: MEDICAL ADRENALINE, LLC

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	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1811598683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ADRENALINE, LLC

Provider Business Mailing Address
First Line	:	2161 S BOUNDARY RD
Second Line	:
City	:	RADCLIFF
State	:	KY
Zip	:	40160-9686
Country	:	US
Telephone Number	:	270-832-5389
Fax Number	:

Provider Business Practice Location Address
First Line	:	529 CAPP HARLAN RD
Second Line	:
City	:	TOMPKINSVILLE
State	:	KY
Zip	:	42167-1840
Country	:	US
Telephone Number	:	270-487-9231
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. BRIAN C. BRILL JR.
Credential	:	DO
Telephone Number	:	270-832-5389

Provider Enumeration Date	:	11/06/2020
Last Update Date	:	02/05/2026

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