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BRADLEY MILLER M.D. NPI 1184633059


NPI Information

NPI: 1184633059
Provider Name: BRADLEY MILLER, M.D.
Classification: Pediatrics - 2080P0205X
Entity Type: Individual

Specialization: Pediatric Endocrinology

PECOS Registration: Yes

Address:
420 DELAWARE ST SE
MMC 404 UNIVERSITY OF MINNESOTA
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 624-5409
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Bradley Miller, M.D. is a pediatric endocrinology pediatrics in Minneapolis, MN with 27 years of experience. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Bradley Miller, M.D. NPI is 1184633059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

420 DELAWARE ST SE
MMC 404 UNIVERSITY OF MINNESOTA
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 624-5409
Fax: (612) 626-5262

The NPI 1184633059 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), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 4/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics41017MINNESOTANo
22080P0205XPediatricsPediatric Endocrinology41017MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHCSOTHER929357
2548A4MIOTHERMINNESOTABCBS-MN
396198101860OTHERPREFERRED ONE
433-00127OTHERMEDICA CHOICE/SELECT CARE
533-00031OTHERMEDICA PRIMARY
6370001765MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMN MEDICARE
7126279OTHERUCARE
8930078007OTHERMINNESOTAMN RR
9HP27040OTHERHEALTHPARTNERS
10006136MEDICAIDWISCONSIN
11006136MEDICAIDMONTANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.