NPIMap

Individual provider Active NPI

Brooke E Miller, MD

  • Ophthalmology Physician
  • Portland, ME
National Provider Identifier
1295906931
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD20033 Issued in ME
Practice address
15 Lowell St
Portland, ME 04102-2726
Phone
(207) 774-8277
Fax
(207) 699-5850
NPI assigned
Mar 21, 2008
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X MD20033 ME Primary

Addresses

Primary practice location

15 Lowell St
Portland, ME 04102-2726

Mailing address

15 Lowell St
Portland, ME 04102-2726
Phone (207) 774-8277

Other practice location 1

161 Marginal Way
Portland, ME 04101-2438
Phone (207) 774-8277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030000072 ME Practitioner - Ophthalmology 1658514328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Eye Center PAGroup PAC ID 0446240634, shared by 2 NPIs, 19 clinicians

Practice addresses (Care Compare)

15 Lowell St
Portland, ME 04102-2726
Phone (207) 774-8277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD20033MEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Eye Center, PA CurrentSince Aug 1, 2014 Accepting new patients
Maine Eye Center, PA CurrentSince Aug 1, 2014 Accepting new patients
Maine Eye Center, PA Ophthalmology CurrentSince Aug 1, 2014 Accepting new patients

Locations

15 Lowell St
Portland, ME 04102
Phone (207) 774-8277

161 Marginal Way
Portland, ME 04101
Phone (207) 773-7964

Interoperability endpoints

  • Direct secure messaging: bmiller@maineeyecenter.intellechartdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1295906931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LOWELL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022726",
            "telephone_number": "207-774-8277",
            "fax_number": "207-699-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LOWELL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022726",
            "telephone_number": "207-774-8277",
            "fax_number": "207-699-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Marginal Way",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012438",
            "country_code": "US",
            "telephone_number": "207-774-8277",
            "fax_number": "207-699-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BROOKE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "MD20033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.