Individual provider Active NPI

Brandi Nicole Milmo, M.D.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1558670166
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N8044 Issued in TX
Practice address
3510 N Saint Marys St Ste 210
San Antonio, TX 78212-3164
Phone
(210) 236-5108
NPI assigned
Sep 29, 2010
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N8044 TX Primary

Addresses

Primary practice location

3510 N Saint Marys St Ste 210
San Antonio, TX 78212-3164

Mailing address

3510 N Saint Marys St Ste 210
San Antonio, TX 78212-3164
Phone (210) 236-5108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 5, 2023 through Sep 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N8044TXMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1558670166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N SAINT MARYS ST STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123164",
            "telephone_number": "210-236-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N SAINT MARYS ST STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123164",
            "telephone_number": "210-236-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILMO",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N8044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.