Organization Active NPI

Dr Glenn Galbraith Miller, Medicine PC

  • Adult Medicine Physician
  • Conshohocken, PA
National Provider Identifier
1144481433
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS004427L Issued in PA
Legal business name
DR GLENN GALBRAITH MILLER, MEDICINE PC
Practice address
700 Fayette St
Conshohocken, PA 19428-1707
Phone
(610) 825-9665
NPI assigned
Jun 19, 2008
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Glenn Galbraith Miller, D.O.NPI 1821002221
Title
Doctor
Phone
(610) 828-0358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X OS004427L PA Primary

Addresses

Primary practice location

700 Fayette St
Conshohocken, PA 19428-1707

Mailing address

700 Fayette St
Conshohocken, PA 19428-1707
Phone (610) 825-9665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120730000066 PA Part B Supplier - Clinic/Group Practice 2668638073 Receives reassigned benefits from 2 practitioners
Practice locations: Conshohocken, PA

National Provider Directory

National Provider Directory

Locations

700 Fayette St
Conshohocken, PA 19428
Phone (610) 825-9665

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1144481433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FAYETTE ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281707",
            "telephone_number": "610-825-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FAYETTE ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281707",
            "telephone_number": "610-825-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GLENN GALBRAITH MILLER, MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "GALBRAITH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "610-828-0358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "OS004427L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.