William Bradley Miller, MD

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

G52487 Issued in CA

Practice address

103 Providence Mine Rd
Suite 104 D
Nevada City, CA 95959-2941

Phone

(530) 478-1536

Fax

(530) 478-1536

NPI assigned

Dec 19, 2005

Last updated

Apr 15, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1255317681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROVIDENCE MINE RD",
            "address_2": "SUITE 104 D",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592941",
            "telephone_number": "530-478-1536",
            "fax_number": "530-478-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROVIDENCE MINE RD",
            "address_2": "SUITE 104 D",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592941",
            "telephone_number": "530-478-1536",
            "fax_number": "530-478-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WILLIAM",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G52487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G524870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara M Millar
• Emmett E. Miller III, MD
• Kimberly Jo Miller, PHARMD
• Tamsyn Noel Miller, PHYSICAL THERAPIST
• Thomas Michael Miller
• Nicole Misley
• Marisa G Mogianesi
• Malcolm Xavier Moore
• Michael Moore
• Victoria Moran, LMFT

• Hospice and Palliative Medicine (Internal Medicine) Physician in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.