Benjamin Joseph Miller, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

TRL11284 Issued in ND

Practice address

501 N Columbia Rd Stop 9037
University of North Dakota Surgery, SMHS RM 5108
Grand Forks, ND 58203-9037

Phone

(701) 777-3067

Fax

(701) 777-2609

NPI assigned

Jul 2, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University of North Dakota

  • Genetics Clinic/Center
  • Grand Forks, ND
  • NPI 1013032663
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1427287127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N COLUMBIA RD STOP 9037",
            "address_2": "UNIVERSITY OF NORTH DAKOTA SURGERY, SMHS RM 5108",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582039037",
            "telephone_number": "701-777-3067",
            "fax_number": "701-777-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N COLUMBIA RD STOP 9037",
            "address_2": "UNIVERSITY OF NORTH DAKOTA SURGERY, SMHS RM 5108",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582039037",
            "telephone_number": "701-777-3067",
            "fax_number": "701-777-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "TRL11284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolene Rae Brown Mikkelson, OTR/L
• James A Miles, MD
• Timbra S Millar
• Madison Milleker
• Autumn Miller
• Brandi Jo Miller, DPT
• Bryan D Miller, PHARMD
• Heidi L Miller, OT
• Jagger Miller
• John Gerard Miller, LAC

• Surgery Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Surgery Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.