Individual provider Active NPI

Bruce Milton Miller, MD

  • Orthopaedic Surgery Physician
  • Kingsport, TN
National Provider Identifier
1740278225
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD040487 Issued in TN
Practice address
430 W Ravine Rd
Kingsport, TN 37660-3868
Phone
(423) 245-3161
NPI assigned
Oct 10, 2005
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD040487 TN Primary

Addresses

Primary practice location

430 W Ravine Rd
Kingsport, TN 37660-3868

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

2202 John B Dennis Hwy
Suite 100
Kingsport, TN 37660
Phone (423) 245-3161

Other identifiers 3

IdentifierTypeStateIssuer
1740278225MedicaidVA
3336346MedicaidTN
MD040487OtherTNLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051229000738 TN Practitioner - Orthopedic Surgery 3072421353 Reassigns benefits to 2 organizations
I20241211000365 VA Practitioner - Orthopedic Surgery 3072421353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Dominion Health and Fitness, IncGroup PAC ID 3274570908, 71 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8200

430 W Ravine Rd
Kingsport, TN 37660-3868
Phone (423) 245-3161

4862 Dickenson Hwy
Clintwood, VA 24228-1810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement23
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040487TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Orthopaedics of Kingsport PC Orthopaedic Surgery CurrentSince May 1, 2012 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Clinch Professional Physician Services LLC Orthopaedic Surgery CurrentSince Dec 2, 2024 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Dec 2, 2024 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Associated Orthopaedics of Kingsport PC Orthopaedic Surgery CurrentSince May 1, 2012 Accepting new patients
Associated Orthopaedics of Kingsport PC Orthopaedic Surgery Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2202 N John B Dennis Hwy
Ste 100
Kingsport, TN 37660
Phone (423) 245-3161

430 W Ravine Rd
Kingsport, TN 37660
Phone (423) 245-3161

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • Direct secure messaging: bmiller15716@balladhealth.medalliesdirect.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1579

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1740278225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W RAVINE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603868",
            "telephone_number": "423-245-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 JOHN B DENNIS HWY",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "country_code": "US",
            "telephone_number": "423-245-3161",
            "fax_number": "423-857-8129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRUCE",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD040487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740278225",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3336346",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD040487",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.