Individual provider Active NPI

Gerald Brandon Millick, MD

  • Surgery Physician
  • Seymour, IN
National Provider Identifier
1477874584
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01070624A Issued in IN
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

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000497 IN Practitioner - General SurgeryPractitioner - Emergency Medicine 4981866720 Reassigns benefits to 1 organization

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
Jackson County Schneck Memorial HospitalGroup PAC ID 8224004585, 139 clinicians

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 Hospital, Seymour, IN, CCN 150065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux109
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01070624AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital CurrentSince Aug 15, 2016 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.