Stephen Bodie Miller, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1950 Rockledge Blvd
Rockledge, FL 32955-3771

Phone

(321) 636-0005

Fax

(321) 636-9030

NPI assigned

Jan 22, 2021

Last updated

May 28, 2024By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Brevard Family Walk in Clinic LLC

  • Family Medicine Physician
  • Rockledge, FL
  • NPI 1134146046
  Medicare reassignment
• Brevard Family Walk in Clinic Rockledge

  dba Brevard Family Walk In Clinic LLC

  • Non-Pharmacy Dispensing Site
  • Rockledge, FL
  • NPI 1265846943
  NPD (past)

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1164012282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ROCKLEDGE BLVD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553763",
            "telephone_number": "321-636-0005",
            "fax_number": "321-636-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ROCKLEDGE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553771",
            "telephone_number": "321-636-0005",
            "fax_number": "321-636-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 N Courtenay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329535519",
            "country_code": "US",
            "telephone_number": "321-636-0005 x2",
            "fax_number": "321-636-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "BODIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Miles, M.A.
• Kimberly Erin Miles, LMHC
• Rosemary Miles
• Brittney Millard
• Sally Jo Miller, LMT,NCBTMB,FS
• Tina Miller, M.A., CCC, SLP
• Linda A Milo, RN
• Andrew Glen Miner, M.D.
• Sara Mirsky
• Julianne K Mitkowski

• Medical Physician Assistant in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.