Active NPI
Gerald Brandon Millick, MD
- Surgery Physician
- Seymour, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01070624A
- Practice address
- Schneck Professional Building
411 West Tipton Street
Seymour, IN 47274 - Phone
- (812) 519-2388
- Fax
- (812) 519-3182
- NPI assigned
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01070624A | IN | Primary |
Addresses
Primary practice location
Schneck Professional Building
411 West Tipton Street
Seymour, IN 47274
Mailing address
Schneck Professional Building
411 West Tipton Street
Seymour, IN 47274
Phone (812) 519-2388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Indiana University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 W Tipton St
Schneck Medical Center
Seymour, IN 47274-2363
Phone (812) 522-2349
Hospital & facility affiliations
- Schneck Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 30 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 109 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01070624A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Schneck Memorial Hospital | Current | Accepting new patients | |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients | |
| Coordinated Health LLC | Past | Accepting new patients |
Locations
1366 N Gardner St
Ste 106
Scottsburg, IN 47170
Phone (812) 752-7444
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349
225 S Pine St
Ste 310
Seymour, IN 47274
Phone (812) 522-2177
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Seymour, IN
- NPI 1629143037
-
- Obstetrics & Gynecology Physician
- Seymour, IN
- NPI 1982799896
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1477874584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SCHNECK PROFESSIONAL BUILDING",
"address_2": "411 WEST TIPTON STREET",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "47274",
"telephone_number": "812-519-2388",
"fax_number": "812-519-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SCHNECK PROFESSIONAL BUILDING",
"address_2": "411 WEST TIPTON STREET",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "47274",
"telephone_number": "812-519-2388",
"fax_number": "812-519-3182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLICK",
"first_name": "GERALD",
"middle_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01070624A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.