DR. BRUCE IAN MILLMAN (NPI# 1306835202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306835202 |
| Entity Type | Individual |
| Full Name | DR. BRUCE IAN MILLMAN |
| Other Name | DR. BRUCE IAN MILLMAN |
| Credential | D.O. |
| Practice Address |
2221 Livernois Rd Suite 100 Troy MI 48083-1603 |
| Practice Telephone | 8775864877 |
| Practice Fax Number | 8775864877 |
| Mailing Telephone | 8775864877 |
| Mailing Fax Number | 8775864877 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2013-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
BM012972 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
5101012972 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 2956312664 | 01 |
| MI | MCARE | 14395 | 01 |
| MI | HAP | H57094 | 01 |
| MI | 4711548 | 05 | |
| MI | BLUE CARE NETWORK | 2956312664 | 01 |
| MI | RAILROAD MEDICRE | P00241562 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134245574 | Bruce Millman | Counselor | 1723 Woodbourne Rd, A110, Levittown, PA 19057-1510 | 2007-03-21 |
| Street Address |
2221 LIVERNOIS RD SUITE 100 |
| City | TROY |
| State | MI |
| Zip Code | 48083-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888904 | Mazin Putrus Yonan | Internal Medicine | 2221 Livernois Rd, 100, Troy, MI 48083-1603 | 2005-08-16 |
| 1104458793 | Jamie Main II | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2020-02-11 |
| 1902438591 | Chase William Carter I | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2020-02-11 |
| 1407487515 | Brenna Nicole Hendler | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2020-01-28 |
| 1356812010 | Olivia Nella Walkuski | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-12-06 |
| 1447728076 | Michelle Berciles Villareal | Nurse Practitioner | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-11-13 |
| 1992273981 | Elise Halterman | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-11-07 |
| 1780150821 | Mercedes White | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-10-16 |
| 1235604091 | Kayla Marie Porter | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-10-09 |
| 1184106619 | Jennifer Hiltunen | Behavior Technician | 2221 Livernois Rd, Troy, MI 48083-1603 | 2018-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856388 | David H Bruce | Internal Medicine | 2 New Hampshire Ave, Ste 250, Troy, NY 12180-1753 | 2005-07-21 |
| 1609299502 | Thaofiq Olatunde Ijaiya | Internal Medicine | 2 New Hampshire Ave, Troy, NY 12180-1764 | 2014-01-28 |
| 1497997530 | Midwest Acute Care Consultants PC | Internal Medicine | 1000 E Cherry St, Suite A, Troy, MO 63379-1513 | 2009-04-06 |
| 1578588679 | Keith M Stevens | Internal Medicine | 44199 Dequindre Rd, Suite 311, Troy, MI 48085-1128 | 2006-07-12 |
| 1306861414 | Samuel A Allen | Internal Medicine | 44199 Dequindre Rd, Suite 311, Troy, MI 48085-1128 | 2006-07-12 |
| 1285625749 | Stephen B Lillard | Internal Medicine | 1000 E Cherry St, Attn: 3rd Floor Pulmonary Clinic, Troy, MO 63379-1513 | 2005-11-03 |
| 1538152814 | Joseph Farooq | Internal Medicine | 2 New Hampshire Ave, Ste250, Troy, NY 12180-1753 | 2005-08-23 |
| 1356343339 | David A Strumpf | Internal Medicine | 2 New Hampshire Ave, Ste 250, Troy, NY 12180-1753 | 2005-08-10 |
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|---|---|---|---|---|
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| 1598286262 | Younghwa Kwon | Internal Medicine | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2017-07-03 |
| 1679949150 | Morpheus International Sleep Solutions Pllc | Internal Medicine | 46472 Crystal Downs W, Northville, MI 48168-8483 | 2015-08-19 |
| 1972928513 | Gerald T Pruitt Do Pllc | Internal Medicine | 350 Whitehills Dr, East Lansing, MI 48823-2758 | 2014-02-19 |
| 1629408315 | Pulmonary & Critical Care One PC | Internal Medicine | 4160 John R St Ste 1011, Harper Professional Building, Detroit, MI 48201-2017 | 2013-11-18 |
| 1558630194 | Sue Killion Cammarata | Internal Medicine | 117 Clinton St, South Haven, MI 49090-1201 | 2011-12-28 |
| 1265712012 | Pulmonary Specialists of Michigan, PC | Internal Medicine | 23500 Park St., Suite #3, Dearborn, MI 48124 | 2011-08-25 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1275774531 | Integrated Geriatric Services Pllc | Internal Medicine | 3080 Fleming Lake Dr, Ann Arbor, MI 48105-8000 | 2009-03-17 |
| 1487816419 | Advanced Pulmonary & Sleep Associates PC | Internal Medicine | 1110 N Telegraph Rd, Dearborn, MI 48124-1634 | 2008-07-01 |
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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.