Mills Clinic a Professional Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MILLS CLINIC A PROFESSIONAL MEDICAL CORPORATION

Practice address

7225 Fern Avenue
Suite 600
Shreveport, LA 71105-4981

Phone

(318) 629-3630

Fax

(318) 629-3640

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Haywood Mills, MD

Title

MD Owner President

Phone

(318) 629-3630

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1649328030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 FERN AVENUE",
            "address_2": "SUITE 600",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054981",
            "telephone_number": "318-629-3630",
            "fax_number": "318-629-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 FERN AVENUE",
            "address_2": "SUITE 600",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054981",
            "telephone_number": "318-629-3630",
            "fax_number": "318-629-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS CLINIC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "HAYWOOD",
        "authorized_official_title_or_position": "MD OWNER PRESIDENT",
        "authorized_official_telephone_number": "318-629-3630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1989088",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "19D1047971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leila Millican
• Terrence Millican
• Edward J. Milligan, M.D.
• Shawn Arlen Milligan, M.D.
• Valerie Dawn Millikin
• Mills Executive Care Services
• Bryan Haywood Mills, M.D.
• Glenn Morris Mills, M.D.
• Kerrie T Mills, LCSW
• Patrick Mills, DDS

• Primary Care Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.