Brady Miller

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9727 Issued in MN

Practice address

3835 Supreme CT NW
Suite 2
Bemidji, MN 56601-4446

Phone

(218) 444-8280

Fax

(218) 444-8337

NPI assigned

Oct 15, 2014

Last updated

Oct 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1467856799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW",
            "address_2": "SUITE 2",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014446",
            "telephone_number": "218-444-8280",
            "fax_number": "218-444-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW",
            "address_2": "SUITE 2",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014446",
            "telephone_number": "218-444-8280",
            "fax_number": "218-444-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRADY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Michalicek
• Pamela Jean Michaud, MH PRACITIONER
• Larellyn Micheau
• Landis J. Midboe, C.R.N.A.
• Midwest Care Facilities LLC (Autumn Hills)
• Krista Miller, APRN, CNP
• Layne Miller Jr., FNP-C
• Mark A Miller, LMFT
• Thomas E Miller, M.D.
• Judith A Mills, D.O.

• Physical Therapist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.