MS. BREELYN NICOLE MILES DPM NPI 1639664766

NPI Information

NPI: 1639664766
Provider Name: MS. BREELYN NICOLE MILES, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: FOOT CLINIC OF SOUTH CAROLINA LLC

PECOS Registration: Yes

Address:
825 CHALKSTONE AVE APT 3
PROVIDENCE, RI
ZIP 02908
Phone: (401) 456-2000
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MS. Breelyn Nicole Miles, DPM is a foot and ankle surgery podiatrist in Providence, RI with 6 years of experience. MS. Breelyn Nicole Miles, DPM NPI is 1639664766. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2018

The provider's business location address is:

825 CHALKSTONE AVE APT 3
PROVIDENCE, RI
ZIP 02908-728
Phone: (401) 456-2000

The NPI 1639664766 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/1/2018 and was last updated on 4/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		LPR00194	RHODE ISLAND	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	LPR00194	RHODE ISLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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