Miller, Bradley

Miller, Bradley is an individual health care provider with primary practice located at 420 Delaware St Se Mmc 404 University Of Minnesota, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Miller, Bradley can be contacted via phone (612) 624-5409.

Contact Information

Primary practice address
420 Delaware St Se Mmc 404 University Of Minnesota Minneapolis MN 55455
Phone: (612) 624-5409
Fax: (612) 626-5262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41017 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 41017 Minnesota

Profile Details

NPI number 1184633059
LBN Legal business name Miller, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Apr 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184633059 NPPES
Other 33-00127 MEDICA CHOICE/SELECT CARE
Other HP27040 MEDICA CHOICE/SELECT CARE
Other 126279 MEDICA CHOICE/SELECT CARE
Other 930078007 MEDICA CHOICE/SELECT CARE
MEDICAID 006136 MEDICA CHOICE/SELECT CARE
Other 33-00031 MEDICA CHOICE/SELECT CARE
Other 548A4MI MEDICA CHOICE/SELECT CARE
Other PHCS MEDICA CHOICE/SELECT CARE
MEDICAID 006136 MEDICA CHOICE/SELECT CARE
Other 96198101860 MEDICA CHOICE/SELECT CARE

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