Brendan M. Miles

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

08217 Issued in MS

Legal business name

BRENDAN M. MILES

Doing business as

Radiology Clinic

Practice address

411B Main St S
Amory, MS 38821-4221

Phone

(662) 256-5807

Fax

(662) 256-3729

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brendan Mathew Miles, M.D.

Title

Radiologist/Owner

Phone

(662) 256-5807

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Radiology Clinic Doing business as

Locations

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1801061601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411B MAIN ST S",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388214221",
            "telephone_number": "662-256-5807",
            "fax_number": "662-256-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411B MAIN ST S",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388214221",
            "telephone_number": "662-256-5807",
            "fax_number": "662-256-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDAN M. MILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "RADIOLOGIST/OWNER",
        "authorized_official_telephone_number": "662-256-5807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "MS",
            "license": "08217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013573",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941165",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boa Vida Hospital of Aberdeen, Ms, LLC (MRH Medical Group, Caretime Medical Clinic)
• Benjamin T. Boatright, MD
• David Garland Boyd, DDS
• Woodrow Wilson Brand III, MD
• Breakthrough Physical Therapy
• Emily Ann Brown, FNP-C
• Raphael A Buckle, MD
• Amy H Burrell, RHP
• Alicia Lauren Calhoun, M.S CCC-SLP
• Caretime Medical Clinic, LLC

• Mammography Clinic/Center in Amory, MS
• Providers in Amory, MS by specialty
• Mammography Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.