BRUCE DEAN MILLER (NPI# 1134224751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134224751 |
| Entity Type | Individual |
| Full Name | BRUCE DEAN MILLER |
| Credential | MD |
| Practice Address |
1004 Fowler Way Suite 6 Placerville CA 95667-5746 |
| Practice Telephone | 5306261602 |
| Practice Fax Number | 5306268636 |
| Mailing Telephone | 5306261602 |
| Mailing Fax Number | 5306268636 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G29102 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
G29102 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G29102 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G2910204 | 05 |
| 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 |
1004 FOWLER WAY SUITE 6 |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200486 | Stanley C Henjum II | Internal Medicine | 1004 Fowler Way, #4, Placerville, CA 95667-5746 | 2006-01-20 |
| 1508181959 | Debra Anne Bugbee | Nurse Practitioner | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 | 2010-03-29 |
| 1215181664 | Marshall Medical Center | Urology | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 | 2008-11-12 |
| 1942477575 | Wendy L Rosencrans Wells | Nurse Practitioner | 1004 Fowler Way, Ste 4, Placerville, CA 95667-5746 | 2008-05-13 |
| 1740486794 | Raymond Walter Larsen | Dentist | 1004 Fowler Way, Suite 8, Placerville, CA 95667 | 2007-06-26 |
| 1427260629 | Scott Anthony Vasconcellos | Internal Medicine | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 | 2007-05-03 |
| 1659491298 | Venkat R Tirumala | Internal Medicine | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 | 2007-03-29 |
| 1962556472 | Marshall Center for Primary Care-ob Gyn | Obstetrics & Gynecology | 1004 Fowler Way, Suite 7, Placerville, CA 95667-5746 | 2007-01-22 |
| 1851463343 | Alexander Halstead Massey | Internal Medicine | 1004 Fowler Way, Ste 4, Placerville, CA 95667-5746 | 2006-11-14 |
| 1376625632 | Robert E Carter Md Inc | Obstetrics & Gynecology | 1004 Fowler Way, Suite 1, Placerville, CA 95667 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578594230 | Donita L Abangan | Dermatology | 3105 Cedar Ravine Rd, Ste 201, Placerville, CA 95667-6561 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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| 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.