Active NPI
Bernard Victor Miller III, M.D.
- General Practice Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2002031639
- Practice address
- 8710 Manchester Rd
Saint Louis, MO 63144-2724 - Phone
- (314) 961-3570
- NPI assigned
- Jan 7, 2008
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2002031639 | MO | Primary |
Addresses
Primary practice location
8710 Manchester Rd
Saint Louis, MO 63144-2724
Mailing address
8710 Manchester Rd
Saint Louis, MO 63144-2724
Phone (314) 961-3570
Other practice location 1
660 S Euclid Ave
Campus Box 8031
Saint Louis, MO 63110-1010
Phone (314) 362-8673
Other practice location 2
660 S Euclid Ave
Campus Box 8031
Saint Louis, MO 63110-1010
Phone (314) 362-8673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002031639 | MO | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller Diversified Health Partnerships LLC | Current | Accepting new patients | |
| Miller Diversified Clinical LLC | Current | Accepting new patients | |
| Vpa PC | General Practice | Current | Accepting new patients |
| Vpa PC | General Practice | Current | Accepting new patients |
Locations
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570
8710 Manchester Rd
Saint Louis, MO 63144
Phone (314) 961-3570
Organizations & group practices 4
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.
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Saint Louis, MO
- NPI 1760706337
General Practice
-
- Internal Medicine Physician
- Maplewood, MO
- NPI 1104756667
-
- Geriatric Medicine (Internal Medicine) Physician
- Maplewood, MO
- NPI 1013873637
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1851576029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8710 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631442724",
"telephone_number": "314-961-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8710 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631442724",
"telephone_number": "314-961-3570"
}
],
"practiceLocations": [
{
"address_1": "660 S Euclid Ave",
"address_2": "Campus Box 8031",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101010",
"country_code": "US",
"telephone_number": "314-362-8673",
"fax_number": "314-362-8230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "660 S Euclid Ave",
"address_2": "Campus Box 8031",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101010",
"country_code": "US",
"telephone_number": "314-362-8673",
"fax_number": "314-362-8230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "BERNARD",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "2002031639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.