Active NPI
Bradley Miller, M.D.
- Pediatric Endocrinology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 41017
- Practice address
- 420 Delaware St SE
MMC 404 University of Minnesota
Minneapolis, MN 55455 - Phone
- (612) 624-5409
- Fax
- (612) 626-5262
- NPI assigned
- Aug 7, 2006
- Last updated
- Apr 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 41017 | MN | |
| Pediatric Endocrinology Physician | 2080P0205X | 41017 | MN | Primary |
Addresses
Primary practice location
420 Delaware St SE
MMC 404 University of Minnesota
Minneapolis, MN 55455
Mailing address
420 Delaware St SE
MMC 404 University of Minnesota
Minneapolis, MN 55455
Phone (612) 624-5409
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006136 | Medicaid | MT | |
| HP27040 | Other | HEALTHPARTNERS | |
| 006136 | Medicaid | WI | |
| 930078007 | Other | MN | MN RR |
| PHCS | Other | 929357 | |
| 33-00031 | Other | MEDICA PRIMARY | |
| 548A4MI | Other | MN | BCBS-MN |
| 126279 | Other | UCARE | |
| 33-00127 | Other | MEDICA CHOICE/SELECT CARE | |
| 96198101860 | Other | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Medical University of South Carolina College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41017 | MN | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients | |
| Cardiothoracic Surgery Clinic of North Ms | Past | Accepting new patients |
Locations
2512 S 7th St
Fl 3
Minneapolis, MN 55454
Phone (612) 365-6777
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
420 Delaware St SE
#404
Minneapolis, MN 55455
Phone (612) 624-5409
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0331
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Interoperability endpoints
- bmiller9394@fairview.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba University of Minnesota Health Clinics and Surgery Center - Anesthesia
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
-
dba M Physicians Mill City Clinic
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1124274527
-
dba Dental Clinic
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1952546061
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tupelo, MS
- NPI 1154533321
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
dba University of MN Medical Center, Fairview Transitional Care
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1669459913
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1184633059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"address_2": "MMC 404 UNIVERSITY OF MINNESOTA",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-624-5409",
"fax_number": "612-626-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"address_2": "MMC 404 UNIVERSITY OF MINNESOTA",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-624-5409",
"fax_number": "612-626-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRADLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "41017",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "MN",
"license": "41017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006136",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP27040",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006136",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN RR",
"identifier": "930078007",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "929357",
"identifier": "PHCS",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "33-00031",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MN",
"identifier": "548A4MI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "126279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE/SELECT CARE",
"identifier": "33-00127",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "96198101860",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.