NPIMap

Individual provider Active NPI

George Bruce Miles, D.O.

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1396737458
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS002988L Issued in PA
Practice address
3101 Emrick Blvd
Suite 112
Bethlehem, PA 18020-8037
Phone
(610) 419-6426
Fax
(610) 419-6427
NPI assigned
Aug 16, 2005
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS002988L PA Primary

Addresses

Primary practice location

3101 Emrick Blvd
Suite 112
Bethlehem, PA 18020-8037

Mailing address

3101 Emrick Blvd
Suite 112
Bethlehem, PA 18020-8037
Phone (484) 822-5570

Other identifiers 2

IdentifierTypeStateIssuer
124222OtherPAHIGHMARK PIN
0007792600004MedicaidPA

Other names 1

  • G. Bruce Miles Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070404000268 PA Practitioner - Family Practice 8426152224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

3101 Emrick Blvd
Suite 112 St Lukes Primary Care Easton
Bethlehem, PA 18020-8037
Phone (610) 419-6426

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS002988LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group Inc Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Steward Medical Group Inc. Family Medicine CurrentSince May 1, 2017 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Two Rivers Hospital Corporation Past Accepting new patients

Locations

3101 Emrick Blvd
Ste 112
Bethlehem, PA 18020
Phone (610) 419-6426

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

2025 Fairview Ave
Easton, PA 18042
Phone (610) 258-3567

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

2925 Wm Penn Hwy
Ste 201
Easton, PA 18045
Phone (610) 258-1400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Interoperability endpoints

  • Direct secure messaging: george.miles@slpg.direct-sluhn.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Eastwood Healthcare and Rehabilitation CenterEaston, PA, CCN 395075 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 28, 2013
Dec 28, 2013
Compassus - AllentownAllentown, PA, CCN 391659 Hospice Contracted Managing Employee Jan 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1396737458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 EMRICK BLVD",
            "address_2": "SUITE 112",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208037",
            "telephone_number": "484-822-5570",
            "fax_number": "484-822-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 EMRICK BLVD",
            "address_2": "SUITE 112",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208037",
            "telephone_number": "610-419-6426",
            "fax_number": "610-419-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "GEORGE",
        "middle_name": "BRUCE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS002988L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PIN",
            "identifier": "124222",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007792600004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G.",
            "last_name": "MILES",
            "middle_name": "BRUCE",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.