Brian Mills, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA169475 Issued in OR

Practice address

891 23Rd St NE
Salem, OR 97301-1793

Phone

(503) 364-2181

Fax

(503) 364-0364

NPI assigned

Apr 2, 2013

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Childhood Health Associates of Salem

  • Pediatrics Physician
  • Salem, OR
  • NPI 1467677864
  NPD (past)

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1235472861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 23RD ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011793",
            "telephone_number": "503-364-2181",
            "fax_number": "503-364-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 23RD ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011793",
            "telephone_number": "503-364-2181",
            "fax_number": "503-364-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BRIAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA169475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Lee Miller, CADCI
• Signe Louise Miller
• Stacie Jo Miller, LMT
• Tonia Lee Miller, CRM/QMHA-R
• Mechelle M Millmaker, MA, LPC,
• Casey Mills, LPC NCC
• Sherri Lynn Mills
• John B Milnes, LCSW
• David Allan Milroy, DC, ND
• Arielle Sohyon Min, ARNP MS

• Physician Assistant in Salem, OR
• Providers in Salem, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.