Provider Demographics
NPI:1194722983
Name:BRILES, JAMES A (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:BRILES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2675 WINKLER AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:775-356-9393
Mailing Address - Fax:775-356-5590
Practice Address - Street 1:606 4TH AVE W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-5226
Practice Address - Country:US
Practice Address - Phone:941-722-7785
Practice Address - Fax:941-729-5267
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
FLME44224207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL080026392OtherRAILROAD MEDICARE
FLP01096256OtherRR MEDICARE
FL068921100Medicaid
FL68130OtherAETNA
FL41220OtherBLUE CROSS BLUE SHIELD
FL00655OtherUNIVERSAL HEALTH CARE
FL01-84091OtherUNITED HEALTH CARE
FL01-84091OtherUNITED HEALTH CARE
FL41220OtherBLUE CROSS BLUE SHIELD
FLP01096256OtherRR MEDICARE