Dr Lawrence Brent Brilliant, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Mill Valley, California. Dr Lawrence Brent Brilliant is licensed to practice in California (license number C32839) and his current practice location is 8 Ralston Ave, Mill Valley, California. He can be reached at his office (for appointments etc.) via phone at
(650) 766-8529.
NPI number for Dr Lawrence Brent Brilliant is 1619412632 and his current mailing address is 8 Ralston Ave, Mill Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619412632.
Physician's Profile
Full Name | Dr Lawrence Brent Brilliant |
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Gender | Male |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 8 Ralston Ave, Mill Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619412632
- Provider Enumeration Date: 12/29/2016
- Last Update Date: 12/29/2016
Medical Identifiers
Medical identifiers for Dr Lawrence Brent Brilliant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619412632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | C32839 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lawrence Brent Brilliant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lawrence Brent Brilliant, MD 8 Ralston Ave, Mill Valley, CA 94941-1024 Ph: (650) 766-8529 | Dr Lawrence Brent Brilliant, MD 8 Ralston Ave, Mill Valley, CA 94941-1024 Ph: (650) 766-8529 |
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