Bradley Miller

M.D. | Pediatric Endocrinology | Male

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Complete Profile:

Bradley Miller basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Endocrinology
Provider Name :	Bradley Miller
Credential :	M.D.
Gender :	Male

Business Address:

Bradley Miller address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	420 Delaware St Se, Mmc 404 University Of Minnesota Minneapolis, MN, 55455 United States
Phone Number :	612-624-5409
Fax Number :	612-626-5262

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1184633059
NPI Entity Type :	Individual
First Enrolment Date :	07 Aug, 2006
Last Updated On :	23 Apr, 2015

Medicare Participation:

Bradley Miller participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8224930847
Medicare Enrollment ID :	I20040123000749
Primary Specialty :	Endocrinology
Medical School :	Medical University Of South Carolina College Of Medicine
Graduation Year :	1997
Accepts Medicare?	Yes. Bradley Miller accepts medicare insurance.

Group Practice Association:

Bradley Miller is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Bradley Miller is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Fairview Express Care	3375645179	1469	717 Delaware St Se Suite 340 Minneapolis, MN - 554142959 Ph: 6126727422	Yes
Fairview Express Care	3375645179	1469	2450 Riverside Ave Minneapolis, MN - 554541450	Yes
Fairview Express Care	3375645179	1469	2450 Riverside Ave Suite F140 Minneapolis, MN - 554541450 Ph: 6126726999	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradley Miller are as mentioned. Primary taxonomy code for Bradley Miller, M.D. is 2080P0205X (Pediatrics Pediatric Endocrinology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	41017	MN
2080P0205X	Pediatrics Pediatric Endocrinology	Yes	41017	MN

Legacy Identifiers:

Other legacy medical identifiers of Bradley Miller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
PHCS	Other		929357
548A4MI	Other	MN	BCBS-MN
96198101860	Other		PREFERRED ONE
33-00127	Other		MEDICA CHOICE/SELECT CARE
33-00031	Other		MEDICA PRIMARY
126279	Other		UCARE
930078007	Other	MN	MN RR
HP27040	Other		HEALTHPARTNERS
006136	MEDICAID	WI
006136	MEDICAID	MT

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	420 Delaware St Se, Mmc 404 University Of Minnesota Minneapolis, MN, 55455 United States
Phone Number :	612-624-5409
Fax Number :	612-626-5262

Business Location:

Patients can refer following map for directions to Bradley Miller practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.