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DR. MARYALICE BRISLIN MD
NPI 1558852210
Pediatrics - Child Abuse Pediatrics in Hershey, PA

Active since May 29, 2018PECOS Enrolled
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8521 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 4, 2026, Apr 3, 2025 (2 updates tracked since 2025).

About Dr. Maryalice Brislin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARYALICE BRISLIN MD (NPI 1558852210) is an individual child abuse pediatrics provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD487617) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558852210
Entity TypeIndividualFemale
Primary Taxonomy2080C0008X
Provider Legal NameDR. MARYALICE BRISLINCredential: MD
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University Dr, Mc Ca410Hershey, PA 17033-2360 · (800) 243-1455 · Fax (401) 444-7574
Phone(717) 531-8521
Sole ProprietorYes
Enumeration DateMay 29, 2018
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1558852210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080C0008X
License✔ Licensed in PA · MD487617
Definition
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
500 UNIVERSITY DR, Hershey, PA 17033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maryalice Brislin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryalice Brislin's NPI number?

The NPI number for Maryalice Brislin is 1558852210. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Maryalice Brislin located?

Maryalice Brislin practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8521.

What is Maryalice Brislin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Maryalice Brislin enrolled in Medicare?

Yes. Maryalice Brislin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryalice Brislin was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.