Jud E Miller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M4189 Issued in ID

Practice address

SHC 100
Brigham Young University Idaho
Rexburg, ID 83460-2010

Phone

(208) 496-1300

Fax

(208) 496-1306

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Byu Idaho Student Health Center

  • Clinic/Center
  • Rexburg, ID
  • NPI 1538347034
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831175231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHC 100",
            "address_2": "BRIGHAM YOUNG UNIVERSITY IDAHO",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834600001",
            "telephone_number": "208-496-1300",
            "fax_number": "208-496-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHC 100",
            "address_2": "BRIGHAM YOUNG UNIVERSITY IDAHO",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834602010",
            "telephone_number": "208-496-1300",
            "fax_number": "208-496-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JUD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M4189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012050",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen Terry Miller, PHARMD
• Colton D. Miller, PH.D.
• Dana R Miller, DC
• Jamie Miller
• Jarem Miller, D.C.
• Lori Annette Foster Miller, MCOUN., LPC, NCC
• Natalie Millett, LPC, NCC
• Brittaini Milner, LCSW
• Jay Milner
• Mindful Mood Psychiatry, PLLC

• Family Medicine Physician in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.