Guy Bradford Miller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008629 Issued in IL

Practice address

404 S Court St
Marion, IL 62959-2712

Phone

(618) 997-8066

Fax

(618) 997-7702

NPI assigned

May 8, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Miller Spinal Health and Wellness Center S C

  • Chiropractor
  • Marion, IL
  • NPI 1336150630
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1538118633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S COURT ST",
            "address_2": "P.O. BOX 1008",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629592712",
            "telephone_number": "618-997-8066",
            "fax_number": "618-997-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S COURT ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629592712",
            "telephone_number": "618-997-8066",
            "fax_number": "618-997-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GUY",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "10022981",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PIN",
            "identifier": "401543",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Agricultural Wellness Institute
• Arlene Eloise Miksanek, M.D.
• Emily Miles, BSN, RN
• Miller Spinal Health and Wellness Center S C
• Antoinette Marie Miller, NP
• Kelsey Ryan Miller
• Mona Miller
• Robert L Miller, M.D.
• Mills Wellness Center LLC
• Jason Andrew Mings

• Chiropractor in Marion, IL
• Providers in Marion, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.