Active NPI
Bruce C Miller, M.D.
- Interventional Cardiology Physician
- Redding, CA
National Provider Identifier
1235110750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- G87380
- Practice address
- 2780 Eureka Way
Redding, CA 96001 - Phone
- (530) 229-0360
- Fax
- (530) 229-0856
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | G87380 | CA | Primary |
Addresses
Primary practice location
2780 Eureka Way
Redding, CA 96001
Mailing address
2780 Eureka Way
Redding, CA 96001
Phone (530) 229-0360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G873800 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87380 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Associates PC | Past | Accepting new patients | |
| Stelzer Surgery, PC | Past | Accepting new patients |
Interoperability endpoints
- bruce.millermd.p1@direct.schc.nextgenshare.com
Organizations & group practices 2
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.
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- NPI 1043284094
-
- General Practice Physician
- Le Mars, IA
- NPI 1104977867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1235110750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 EUREKA WAY",
"city": "REDDING",
"state": "CA",
"postal_code": "96001",
"telephone_number": "530-229-0360",
"fax_number": "530-229-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 EUREKA WAY",
"city": "REDDING",
"state": "CA",
"postal_code": "96001",
"telephone_number": "530-229-0360",
"fax_number": "530-229-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRUCE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "G87380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G873800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.