Active NPI
Bernard J Miller, D.C
- Rehabilitation Chiropractor
- Columbus, OH
National Provider Identifier
1063535847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 1258
- Practice address
- 1021 B Country Club Rd
Columbus, OH 43213 - Phone
- (614) 762-7312
- Fax
- (888) 551-2775
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 1258 | OH | Primary |
| Nutrition Chiropractor | 111NN1001X | 1258 | OH |
Addresses
Primary practice location
1021 B Country Club Rd
Columbus, OH 43213
Mailing address
1021B Country Club Rd
Columbus, OH 43213
Phone (614) 762-7312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0852582 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1258 | OH | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1063535847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021B COUNTRY CLUB RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-762-7312",
"fax_number": "888-551-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 B COUNTRY CLUB RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-762-7312",
"fax_number": "888-551-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BERNARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "OH",
"license": "1258",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OH",
"license": "1258",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0852582",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.