Individual provider Active NPI

David E Miller, M.D.

  • Neurology Physician
  • Brockton, MA
National Provider Identifier
1689960197
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
267523 Issued in MA
Practice address
235 North Pearl St
Brockton, MA 02301
Phone
(508) 427-3000
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 267523 MA Primary

Addresses

Primary practice location

235 North Pearl St
Brockton, MA 02301

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118-2690

Other practice location 1

170 Governors Ave Ste 258
Medford, MA 02155
Phone (781) 213-5201

Other practice location 2

170 Governors Ave Ste 258
Medford, MA 02155
Phone (781) 213-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161025001554 MA Practitioner - Neurology 1052531167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of Ny Upstate Medical University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
  • Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267523MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Dec 31, 2019 Accepting new patients
Hallmark Health Medical Associates Inc CurrentSince Oct 24, 2016 Accepting new patients
BMC Affiliated Physicians, Inc. Neurology CurrentSince Apr 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 31, 2019 Accepting new patients
Tufts Medical Center, Inc. PastSince Oct 24, 2016 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

170 Governors Ave
Ste 258
Medford, MA 02155
Phone (781) 213-5201

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

51 Montvale Ave
Stoneham, MA 02180
Phone (781) 213-5200

Interoperability endpoints

  • Direct secure messaging: dmiller259759@direct.bmc.masshiway.net

Organizations & group practices 5

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 2

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1689960197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NORTH PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-427-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Governors Ave Ste 258",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "02155",
            "country_code": "US",
            "telephone_number": "781-213-5201",
            "fax_number": "781-481-9016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Governors Ave Ste 258",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "02155",
            "country_code": "US",
            "telephone_number": "781-213-5201",
            "fax_number": "781-481-9016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "267523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.