Individual provider Active NPI

Bruce Lawrence Miller, M.D.

  • Rheumatology Physician
  • Beverly Hills, CA
National Provider Identifier
1124160163
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G16932 Issued in CA
Practice address
9400 Brighton Way Ste 201
Beverly Hills, CA 90210-4709
Phone
(310) 272-1150
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G16932 CA Primary

Addresses

Primary practice location

9400 Brighton Way Ste 201
Beverly Hills, CA 90210-4709

Mailing address

9400 Brighton Way Ste 201
Beverly Hills, CA 90210-4709
Phone (310) 272-1150

Other identifiers 1

IdentifierTypeStateIssuer
000G169320MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000728 CA Practitioner - Rheumatology 7012049216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G16932CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce L. Miller M.D. a Professional Corporation Rheumatology CurrentSince Feb 1, 2010 Accepting new patients

Locations

9400 Brighton Way
Ste 410
Beverly Hills, CA 90210
Phone (310) 256-2426

9400 Brighton Way
Ste 201
Beverly Hills, CA 90210
Phone (310) 271-6229

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1124160163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104709",
            "telephone_number": "310-272-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104709",
            "telephone_number": "310-272-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRUCE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G16932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G169320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.