Individual provider Active NPI

Bradley K Miller, DO

  • Internal Medicine Physician
  • New Martinsville, WV
National Provider Identifier
1861447039
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1051 Issued in WV
Practice address
150 Paducah Dr
New Martinsville, WV 26155-2710
Phone
(304) 455-8190
Fax
(304) 455-8131
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1051 WV Primary

Addresses

Primary practice location

150 Paducah Dr
New Martinsville, WV 26155-2710

Mailing address

PO Box 244
New Martinsville, WV 26155-0244
Phone (304) 455-8010

Other identifiers 2

IdentifierTypeStateIssuer
0042185000MedicaidWV
0751664MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmiller216584@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address bmiller216584@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060628000368 WV Practitioner - Internal Medicine 1557373990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1051WVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wetzel County Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Wetzel County Hospital Association Internal Medicine Current Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients

Locations

150 Paducah Dr
New Martinsville, WV 26155
Phone (304) 455-8190

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

3 E Benjamin Dr
Ste B
North Martinsvlle, WV 26155
Phone (304) 455-6003

Interoperability endpoints

  • Direct secure messaging: bmiller216584@direct.wvuhsdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1861447039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261550244",
            "telephone_number": "304-455-8010",
            "fax_number": "304-455-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PADUCAH DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552710",
            "telephone_number": "304-455-8190",
            "fax_number": "304-455-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRADLEY",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "1051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042185000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751664",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmiller216584@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Paducah Dr",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmiller216584@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Paducah Dr",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

Verify at the official NPI Registry.