DR. BRADLEY L MILLER (NPI# 1275515637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275515637 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY L MILLER |
| Credential | MD |
| Practice Address |
1 Medical Village Dr Edgewood KY 41017-3403 |
| Mailing Address |
Po Box 932163 Cleveland OH 44193-0001 |
| Practice Telephone | 8593012160 |
| Practice Fax Number | 8593013932 |
| Mailing Telephone | 5864124000 |
| Mailing Fax Number | 5864124100 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2013-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 27093 | KY | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
27093 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0813356 | 05 | |
| KY | RAIL ROAD MEDICARE PTAN | P00825275 | 01 |
| RRMC | 300013441 | 01 | |
| KY | 64270937 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807197 | Bradley James Miller | Student in an Organized Health Care Education/Training Program | 146 Agency Oaks, San Antonio, TX 78249-1538 | 2020-07-01 |
| 1124512066 | Bradley Wayne Miller | Social Worker | 428 Campground Rd Lot 22, Selma, NC 27576-8947 | 2018-06-14 |
| 1326321373 | Bradley J Miller | Pharmacist | 16 Berryhill Rd, Suite 109, Columbia, SC 29210-6433 | 2011-09-26 |
| 1831159078 | Bradley Todd Miller | Obstetrics & Gynecology | 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 | 2006-03-23 |
| 1790300531 | Bradley Chase Miller | Anesthesiology | 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2020-06-08 |
| 1174177109 | Bradley Scott Miller | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-07-29 |
| 1982171898 | Bradley S. Miller | Physical Therapist | 1663 Stephenson Hwy, Troy, MI 48083-2169 | 2018-10-29 |
| 1932675394 | Bradley Michael Miller | Nurse Anesthetist, Certified Registered | 7500 State Rd, Cincinnati, OH 45255-2439 | 2018-10-23 |
| 1992151591 | Bradley Franklin Miller | Pharmacist | 411 Green Bay Rd, Wilmette, IL 60091-2725 | 2016-05-12 |
| 1467810440 | Bradley Miller | Adult Companion | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2016-02-04 |
| Street Address |
1 MEDICAL VILLAGE DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477279 | Gregory Dean Sweeney | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-06-20 |
| 1497356182 | Mariah Gilbert | Registered Nurse | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-11-08 |
| 1730789132 | Bailey Hancock | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1831799220 | Caroline Ewart | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1437756442 | Danielle Brauning | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-02 |
| 1649887944 | Ashleigh Eversole | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-30 |
| 1164037784 | Elizabeth Spray | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-10 |
| 1508470360 | Michael Lavoy | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-08-31 |
| 1114538519 | Carrie Nicole Anderson | Genetic Counselor, MS | 1 Medical Village Dr, Floor 3 - Mfm, Edgewood, KY 41017-4101 | 2020-08-11 |
| 1396354569 | Timothy Robert Mcintyre | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467564435 | Hospital Imaging Co Inc | Radiology | 2904 Foltz Drive, Edgewood, KY 41017-2525 | 2006-08-31 |
| 1629227376 | Joseph Abraham Meranda | Radiology | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2008-09-17 |
| 1750545463 | Scott Tyson | Radiology | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2008-07-11 |
| 1457558017 | John K Guluzian | Radiology | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2007-06-28 |
| 1477687366 | Jason T. Crimmins | Radiology | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2007-03-15 |
| 1114900727 | Richard H Laib | Radiology | 1 Medical Village Drive, Edgewood, KY 41017 | 2005-11-29 |
| 1942283668 | Stephen R Morgan | Radiology | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-11-28 |
| 1366425076 | Kirk M Doerger | Radiology | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-11-28 |
| 1497738108 | Jeffrey T Dardinger | Radiology | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-11-28 |
| 1114900842 | James J Roebker | Radiology | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-11-28 |
| Find all providers in EDGEWOOD | ||||
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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.