Provider Demographics
NPI:1336291376
Name:BRIOLE, JACQUES PIERRE
Entity Type:Individual
Prefix:MR
First Name:JACQUES
Middle Name:PIERRE
Last Name:BRIOLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:J
Other - Middle Name:PIERRE
Other - Last Name:BRIOLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2001 THE ALAMEDA
Mailing Address - Street 2:ALLIANCE FOR COMMUNITY CARE
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1136
Mailing Address - Country:US
Mailing Address - Phone:408-261-7777
Mailing Address - Fax:408-254-9960
Practice Address - Street 1:2001 THE ALAMEDA
Practice Address - Street 2:ALLIANCE FOR COMM CARE SERVICE TEAM ADULT OOUTPATIENT
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1136
Practice Address - Country:US
Practice Address - Phone:408-261-7777
Practice Address - Fax:408-554-9960
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator