Individual provider Active NPI

Brian McMillen, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport, RI
National Provider Identifier
1104147115
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD19974 Issued in RI
Practice address
11 Friendship St
Newport, RI 02840-2299
Phone
(401) 444-5057
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 125057121 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD19974 RI Primary

Addresses

Primary practice location

11 Friendship St
Newport, RI 02840-2299

Mailing address

445 E Ohio St Apt 1611
Chicago, IL 60611-3337
Phone (617) 895-6936

Other practice location 1

251 E Huron St
Chicago, IL 60611-2908
Phone (617) 895-6936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180628000224 MA Practitioner - Pathology 3971724832 Reassigns benefits to 2 organizations
I20240923001921 RI Practitioner - Pathology 3971724832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Boston University School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Newport HospitalGroup PAC ID 0042111437, 42 clinicians
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

11 Friendship St
Newport, RI 02840-2209
Phone (401) 845-1110

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-7245

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-3777

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125057121ILMDAnatomic Pathology & Clinical Pathology Physician
MD19974RIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group of Massachusetts Inc Anatomic Pathology & Clinical Pathology CurrentSince Jan 4, 2026 Accepting new patients
The Miriam Hospital Current Accepting new patients
Rhode Island Hospital Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2024 Accepting new patients
The Miriam Hospital CurrentSince Aug 1, 2024 Accepting new patients
Prima Care, PC CurrentSince May 2, 2022 Accepting new patients
Newport Hospital Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2024 Accepting new patients
Newport Hospital CurrentSince Aug 1, 2024 Accepting new patients
Rhode Island Hospital CurrentSince Aug 1, 2024 Accepting new patients
Prima Care, PC CurrentSince May 2, 2022 Accepting new patients
The Miriam Hospital Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2024 Accepting new patients

Locations

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

289 Pleasant St
Ste 501
Fall River, MA 02721
Phone (508) 679-6611

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

67 Slades Ferry Ave
Ste 6720
Somerset, MA 02726
Phone (401) 921-0252

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

593 Eddy St
Providence, RI 02903

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1104147115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E OHIO ST APT 1611",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113337",
            "telephone_number": "617-895-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDSHIP ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402299",
            "telephone_number": "401-444-5057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 E Huron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112908",
            "country_code": "US",
            "telephone_number": "617-895-6936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLEN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "125057121",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "RI",
            "license": "MD19974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.