Brad Miller DO PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BRAD MILLER DO PA

Practice address

945 Hilltop Dr
Ste 101
Weatherford, TX 76086-5891

Phone

(817) 596-0109

Fax

(817) 594-3777

NPI assigned

Aug 19, 2009

Organization subpart

No

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

Authorized official

Name

Marvin Bradley Miller, DO

Title

Owner

Phone

(817) 596-0109

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1194957530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HILLTOP DR",
            "address_2": "STE 101",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865891",
            "telephone_number": "817-596-0109",
            "fax_number": "817-594-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HILLTOP DR",
            "address_2": "STE 101",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865891",
            "telephone_number": "817-596-0109",
            "fax_number": "817-594-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD MILLER DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-596-0109",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031748901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron Jay Boney, PH.D.
• Rachel Joye Bourgoin
• Patricia D Bourland, RPH
• Ryan Boyle, PHARMD
• Abigayle Braaten
• Braden Partners LP
• Abbey Grace Bradford
• Robert C Bradford, RPH
• James E Branch, PHARM.D.
• Brant Boling, DDS, PLLC

• Obstetrics & Gynecology Physician in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.