Miller, Brandon M

Miller, Brandon M is an individual health care provider with primary practice located at 2651 E Discovery Pkwy , Bloomington IN 47408-9059. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Miller, Brandon M can be contacted via phone (317) 250-3061.

Contact Information

Primary practice address
2651 E Discovery Pkwy Bloomington IN 47408-9059
Phone: (317) 250-3061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71014556A Indiana

Profile Details

NPI number 1952685679
LBN Legal business name Miller, Brandon M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2011
Last updated Dec 13th, 2023 - about 2 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 1952685679 NPPES
Indiana MEDICAID 300083362

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