Individual provider Active NPI

Brian Glenn Mills Sr., DPM

  • Foot Surgery Podiatrist
  • Hemet, CA
National Provider Identifier
1386647220
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4315 Issued in CA
Practice address
975 Saint John PL
Ste B
Hemet, CA 92543-4428
Phone
(951) 658-2256
Fax
(951) 658-8956
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E4315 CA Primary

Addresses

Primary practice location

975 Saint John PL
Ste B
Hemet, CA 92543-4428

Mailing address

975 Saint John PL
Suite B
Hemet, CA 92543-4428
Phone (951) 658-2256

Other identifiers 3

IdentifierTypeStateIssuer
E4315OtherCALICENSE
P00101130OtherRAILROAD MEDICARE
000E43150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523000511 UT Order and Referring Only - PodiatryPractitioner - Podiatry 5597827246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E4315CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mamad Bagheri MD PA Past Accepting new patients
Brian G Mills, DPM Inc PastSince Sep 12, 2000 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1386647220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SAINT JOHN PL",
            "address_2": "SUITE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434428",
            "telephone_number": "951-658-2256",
            "fax_number": "951-658-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SAINT JOHN PL",
            "address_2": "STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434428",
            "telephone_number": "951-658-2256",
            "fax_number": "951-658-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BRIAN",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E4315",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00101130",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E43150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.