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DR. THOMAS VINCENT BRISLIN JR. DMD
NPI 1740563253
Dentist - Oral and Maxillofacial Surgery in San Diego, CA

Active since September 21, 2011PECOS Enrolled
4765 CARMEL MOUNTAIN RD STE 208, SAN DIEGO, CA 92130(858) 259-4765 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Thomas Vincent Brislin Jr. Dmd NPPES

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

DR. THOMAS VINCENT BRISLIN JR. DMD (NPI 1740563253) is an individual oral and maxillofacial surgery provider in San Diego, California, licensed in California (DS104296) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740563253
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THOMAS VINCENT BRISLIN JR.Credential: DMD
Location Address4765 CARMEL MOUNTAIN RD STE 208San Diego, CA 92130-6657
Mailing Address100 E Lehigh Ave, Navy Medicine Support CommandPhiladelphia, PA 19125-1012
Phone(858) 259-4765
Sole ProprietorYes
Enumeration DateSeptember 21, 2011
Last NPPES UpdateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1740563253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CA · DS104296✔ Licensed in PA · DS038822
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4765 CARMEL MOUNTAIN RD STE 208, San Diego, CA 92130
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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. Thomas Vincent Brislin Jr. Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. ROSHANAK ROSHANZAMIR DMD
Dentist (General Practice)
4765 CARMEL MOUNTAIN RD STE 208
SAN DIEGO, CA 92130
San Diego County (858) 259-4765

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 Thomas Brislin's NPI number?

The NPI number for Thomas Brislin is 1740563253. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Thomas Brislin located?

Thomas Brislin practices at 4765 Carmel Mountain Rd Ste 208, San Diego, CA 92130. The listed phone number is (858) 259-4765.

What is Thomas Brislin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Thomas Brislin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Brislin was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.