Bertis Thomas McMillan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

600 Caisson Hill Road Attn: MCXX-CLD-QM (Credentials)
Irwin Army Community Hospital Attn: Mrs Terry L. Hill
Fort Riley, KS 66442-5037

Phone

(785) 239-7155

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093809717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 SPAIN DRIVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "66502",
            "telephone_number": "785-341-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL ROAD ATTN: MCXX-CLD-QM (CREDENTIALS)",
            "address_2": "IRWIN ARMY COMMUNITY HOSPITAL ATTN: MRS TERRY L. HILL",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664425037",
            "telephone_number": "785-239-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "BERTIS",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuan Hua McDermott, PHARMD
• Melody D McDowall, LSCSW
• Michael Shawn McGee, LPC
• Sean H McKee, MSN, PMHNP-BC
• Deborah Jean McLaurin, NCM
• Alex V McReaken, RDH
• Brandon W. McWilliams, PT
• Amanda Michelle Meade, FNP-C
• Bozhao Men, DDS
• Dandree Edith Mendez

• Physician Assistant in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.