Active NPI
John Richard Milner-Brage, M.D.
- Physical Medicine & Rehabilitation Physician
- Cedar Falls, IA
National Provider Identifier
1497939540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25764
- Practice address
- 1103 Clay St
Cedar Falls, IA 50613-3044 - Phone
- (319) 277-2556
- Fax
- (319) 277-2556
- NPI assigned
- Dec 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25764 | IA | Primary |
Addresses
Primary practice location
1103 Clay St
Cedar Falls, IA 50613-3044
Mailing address
1103 Clay St
Cedar Falls, IA 50613-3044
Phone (319) 277-2556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25764 | IA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1497939540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 CLAY ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506133044",
"telephone_number": "319-277-2556",
"fax_number": "319-277-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 CLAY ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506133044",
"telephone_number": "319-277-2556",
"fax_number": "319-277-2556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILNER-BRAGE",
"first_name": "JOHN",
"middle_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-26",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IA",
"license": "25764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.