Bruce Millman, D.O., PLLC
Organization Active NPI Pulmonary Disease Physician · Clawson, MI
NPI 1407122575 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1407122575
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 5101012972 (MI)
- Legal business name
- BRUCE MILLMAN, D.O., PLLC
- Practice address
- 141 E 14 Mile Rd
Clawson, MI 48017-2171 - Phone
- (248) 965-4165
- Fax
- (248) 592-7387
- NPI assigned
- Mar 22, 2012
- Organization subpart
- No
Authorized official
- Name
- Bruce Ian Millman, D.O.
- Title
- Physician
- Phone
- (248) 965-4165
Practitioners 6
-
Bruce Ian Millman, D.O.
-
Victoria Morgan Reifel, DNP, FNP-BC
-
Olga B Dolgikh, PA-C
-
Emad Alatassi, M.D.
-
Michel Alkhalil, MD
-
Marc Brodsky, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120921000092 | MI | Part B Supplier - Clinic/Group Practice | 5890943534 |
Receives reassigned benefits from 3 practitioners Practice locations: Clawson, MI; West Bloomfield, MI; Royal Oak, MI |
National Provider Directory
Locations
141 E 14 Mile Rd
Clawson, MI 48017
Phone (248) 965-4165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | BM012972 | MI | |
| Pulmonary Disease Physician |
207RP1001X | 5101012972 | MI | Yes |
Addresses
Primary practice location
141 E 14 Mile Rd
Clawson, MI 48017-2171
Mailing address
141 E 14 Mile Rd
Clawson, MI 48017-2171
Phone (248) 965-4165
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14395 | Other | MI | MCARE |
| PTAN INDIVI MI591001 | Other | MI | MEDICARE WPS WISCONSIN FOR MICHIGAN |
| 2956312664 | Other | BCBS | |
| PTAN GROUP DT6533 | Other | MEDICARE RAILROAD | |
| GROUP PTAN IS MI5981 | Other | MI | MEDICARE WPS WISCONSIN FOR MICHIGAN |
| P00241562 | Other | RAILROAD MEDICARE | |
| 2956312664 | Other | BLUE CARE NETWORK | |
| 4711548 | Medicaid | MI | |
| H57094 | Other | HAP |
Other providers in Clawson, MI
- Beronica Salah Bahoura
- Bodyworks Chiropratic PLLC
- Stephen Earl Boodin
- Zena Boutany
- Brian Vasicek DPT PLLC
- Richard A Bruno
- Mende Louise Burger
- C & C Medical Equipment LLC
- C. L. Squires and Company, LLC
- Stephanie Cady
All providers in Clawson, MI · Pulmonary Disease Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.