Miller Diversified Clinical LLC
Organization Active NPI Internal Medicine Physician · Maplewood, MO
NPI 1104756667 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1104756667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- MILLER DIVERSIFIED CLINICAL LLC
- Practice address
- 7203 Sarah St Apt 1
Maplewood, MO 63143-2418 - Phone
- (314) 669-1445
- NPI assigned
- May 19, 2026
- Organization subpart
- No
Authorized official
- Name
- Dr. Bernard Victor Miller III, MD
- Title
- Ceo/Member
- Phone
- (314) 669-1445
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
7203 Sarah St Apt 1
Maplewood, MO 63143-2418
Mailing address
PO Box 434091
Maplewood, MO 63143-4094
Phone (314) 669-1445
Other providers in Maplewood, MO
- Jerrett Marcuson
- Cynthia Louise McClurg
- Dana J McHugh
- Merlenbach Optometry, P.C.
- Michael Matthew Merlenbach
- Miller Diversified Health Partnerships LLC
- Missouri CVS Pharmacy LLC
- Carrie Lee Mitchell
- Devon Murray
- Kathleen Musca
All providers in Maplewood, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.