MR. BRUCE EVERETT MILLER (NPI# 1003876012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003876012 |
| Entity Type | Individual |
| Full Name | MR. BRUCE EVERETT MILLER |
| Credential | PA-C |
| Practice Address |
4801 Veterans Dr Saint Cloud MN 56303-2015 |
| Mailing Address |
416 12th St N Sartell MN 56377-1407 |
| Practice Telephone | 3202556480 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9169 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861610693 | Bruce David Miller | Pharmacist | 3057 S Higuera St, Spc # 53, San Luis Obispo, CA 93401-6625 | 2007-04-24 |
| 1124160163 | Bruce Lawrence Miller | Internal Medicine | 9400 Brighton Way Ste 201, Beverly Hills, CA 90210-4709 | 2007-02-13 |
| 1477691509 | Bruce Williamson Miller | Dentist | 3100 Pineridge Ln, Gastonia, NC 28056-7092 | 2007-02-01 |
| 1104976745 | Bruce Nils Miller | Psychologist | 250 Highland Ave, Montclair, NJ 07043-1010 | 2007-01-12 |
| 1336208313 | Bruce Paul Miller | Internal Medicine | 248 North Main Street, Utica, OH 43080-0507 | 2006-12-06 |
| 1790791978 | Bruce David Miller | Dentist | 301 W Magnetic St, Marquette, MI 49855-2708 | 2006-07-31 |
| 1578591582 | Bruce David Miller | Anesthesiology | 1000 W University Dr Ste 100, Rochester, MI 48307-1874 | 2006-06-29 |
| 1376598920 | Bruce L Miller Jr. | Internal Medicine | Ucsf, 521 Parnassus Ave, Suite C-126, San Francisco, CA 94143-0001 | 2006-05-23 |
| 1235110750 | Bruce C Miller | Internal Medicine | 2780 Eureka Way, Redding, CA 96001 | 2005-11-10 |
| 1740278225 | Bruce Milton Miller | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2005-10-10 |
| Street Address |
4801 VETERANS DR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675629 | Michelle P Pittman-leyendecker | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2005-10-31 |
| 1255939773 | Samantha Stager | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-10-16 |
| 1447866587 | Alyssa L Pumford | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-09-22 |
| 1427663905 | John David Estep | Social Worker | 4801 Veterans Dr, B28 Rm 155, Saint Cloud, MN 56303-2099 | 2020-09-11 |
| 1962012823 | Kelly A Pittman | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-05 |
| 1356951297 | Alyssa Anne Berscheid | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-05 |
| 1790395861 | Anna Elisabeth Lee | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-04 |
| 1932718004 | Bradee Schiefelbein | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-07-24 |
| 1346865532 | Kali Rae Pichotta | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-06-12 |
| 1174145783 | Renae Elizabeth Lockerby | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992944656 | Laura M Gunder Mcclary | Physician Assistant | 3301 Buckingham Way, Saint Cloud, FL 34772-8747 | 2009-02-19 |
| 1497360259 | David Scott Levy | Physician Assistant | 2029 Hickory Tree Rd, Saint Cloud, FL 34772-8906 | 2020-09-09 |
| 1164055505 | Anne Elizabeth Cullen | Physician Assistant | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2020-02-13 |
| 1770139420 | Maranda Kate Heinks | Physician Assistant | 1900 Centracare Cir Ste 2400, Saint Cloud, MN 56303-5000 | 2019-08-16 |
| 1063935955 | Amanda Marilyn Michalski | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2017-07-21 |
| 1336688175 | Courtney Mae Wittrock | Physician Assistant | 1900 Centracare Cir, Suite 2300, Saint Cloud, MN 56303-5000 | 2017-02-13 |
| 1558798090 | Ila Anita Morin | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2013-09-30 |
| 1063852085 | Dimitrios N Minadakis | Physician Assistant | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2013-07-05 |
| 1063765774 | Sierra A Hobbs | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2012-10-18 |
| 1942589080 | Susan Michelle Luetmer | Physician Assistant | 3701 12th St N, Suite 100, Saint Cloud, MN 56303-2255 | 2011-08-08 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on MR. BRUCE EVERETT MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.