Miller, Bradley B.

Miller, Bradley B. is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-8115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Neuropathology is his primary health care specialty. Miller, Bradley B. can be contacted via phone (806) 743-2155.

Contact Information

Primary practice address
3601 4Th St Lubbock TX 79430-8115
Phone: (806) 743-2155
Fax: (806) 743-2117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 0101239526 Virginia
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X N8042 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X N8042 Texas

Profile Details

NPI number 1225050669
LBN Legal business name Miller, Bradley B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated May 8th, 2012 - about 14 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 1225050669 NPPES
Texas Other 192721100 FIRSTCARE
Texas Other 8CR252 FIRSTCARE
Texas MEDICAID 43639208 FIRSTCARE
Texas Other 8CR251 FIRSTCARE

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