Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Brill

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356281760

Ethan Brill is a Student in an Organized Health Care Education/Training Program in Norfolk, Virginia. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

825 Fairfax Ave Ste 563
Norfolk, VA 23507-1914
Phone: (757) 446-5258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356281760
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 29, 2026
Mailing addressPo Box 1980, Norfolk, VA 23501-1980

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