Organization Active NPI

Bruce D. Miller D.O.P.C.

  • Anesthesiology Physician
  • Harrison TWP, MI
National Provider Identifier
1710902267
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5101005712 Issued in MI
Legal business name
BRUCE D. MILLER D.O.P.C.
Practice address
26755 Ballard Rd.
Harrison TWP., MI 48045-2458
Phone
(586) 466-5273
Fax
(586) 466-5393
NPI assigned
Jul 13, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Bruce David Miller, D.O.P.C.
Title
President
Phone
(586) 466-5273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 5101005712 MI Primary

Addresses

Primary practice location

26755 Ballard Rd.
Harrison TWP., MI 48045-2458

Mailing address

PO Box 46027
Mount Clemens, MI 48046-6027
Phone (586) 466-5273

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1710902267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46027",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480466027",
            "telephone_number": "586-466-5273",
            "fax_number": "586-466-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26755 BALLARD RD.",
            "city": "HARRISON TWP.",
            "state": "MI",
            "postal_code": "480452458",
            "telephone_number": "586-466-5273",
            "fax_number": "586-466-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D. MILLER D.O.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-466-5273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.P.C."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101005712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.