BRADY GARLAND MILLER (NPI# 1902915945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902915945 |
| Entity Type | Individual |
| Full Name | BRADY GARLAND MILLER |
| Credential | MD |
| Practice Address |
4525 3rd Ave Se Ste 200 Lacey WA 98503 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3607543934 |
| Practice Fax Number | 3609438023 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
MD00046444 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD00046444 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174082937 | Brady Kevin Miller | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms 20d304, Temple, TX 76508-0001 | 2019-03-19 |
| 1881081867 | Brady Miller | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2015-04-17 |
| 1467856799 | Brady Miller | Physical Therapist | 3835 Supreme Ct Nw, Suite 2, Bemidji, MN 56601-4446 | 2014-10-15 |
| 1811292683 | Brady Miller | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2011-01-25 |
| 1528251774 | Brady Morrow Miller | Counselor | 1800 112th Ave Ne, Suite 240-w, Bellevue, WA 98004-2993 | 2007-08-21 |
| Street Address |
4525 3RD AVE SE STE 200 |
| City | LACEY |
| State | WA |
| Zip Code | 98503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700611 | James J Lechner | Specialist | 4525 3rd Ave Se Ste 200, Lacey, WA 98503 | 2005-06-17 |
| 1437596301 | Mary K Lane | Nurse Practitioner | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2013-05-31 |
| 1366670416 | Jocelyn Torres De Yao | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2009-06-28 |
| 1689846198 | Bojia Li | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2008-03-25 |
| 1306064472 | Nora Gant | Nurse Practitioner | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2007-04-23 |
| 1821112293 | Daniel Madison Byrd | Internal Medicine | 4525 3rd Ave Se Ste 200, Pmg Sw Wa Prcs Lacey Clinic, Lacey, WA 98503-1010 | 2007-03-19 |
| 1013095660 | Monique C. Semien | Internal Medicine | 4525 3rd Ave Se Ste 200, Pmg Sw Wa Prcs Lacey Clinic, Lacey, WA 98503-1010 | 2006-11-01 |
| 1306808381 | John David O'boyle | Obstetrics & Gynecology | 4525 3rd Ave Se Ste 200, Lacey, WA 98503 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366670416 | Jocelyn Torres De Yao | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2009-06-28 |
| 1013100262 | Providence Health & Service - Washington | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 | 2007-08-21 |
| 1831312289 | Fen Jiang | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503 | 2007-04-11 |
| 1568469534 | Xingwei David Sui | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286369 | Candice Mccoy | Internal Medicine | 400 Dexter Ave N Ste 1200, Seattle, WA 98109-5094 | 2019-07-10 |
| 1265860027 | Vista Oncology Inc Ps | Internal Medicine | 420 Mcphee Rd Se, Olympia, WA 98502 | 2013-10-14 |
| 1326483587 | Providence Health & Services Mt | Internal Medicine | 24001 East Mission Ave. Ste 105, Providence Healtlh and Services, Montana, Liberty Lake, WA 99019-0012 | 2013-05-01 |
| 1295000552 | Jesse Johnston Salk | Internal Medicine | 1660 S Columbian Way # S-111onc, Seattle, WA 98108-1532 | 2012-03-19 |
| 1962777862 | Charles M Bagley Jr. | Internal Medicine | 1235 8th Ave W, Seattle, WA 98119-3441 | 2012-03-12 |
| 1548556384 | Janghee Woo | Internal Medicine | 825 Eastlake Ave. East, Seattle, WA 98109 | 2011-06-20 |
| 1174849855 | B Chue Consulting, P.s. | Internal Medicine | 2825 Eastlake Ave E Ste 200, Seattle, WA 98102-3085 | 2010-04-20 |
| 1740449602 | Kinsey A Mccormick | Internal Medicine | 1221 Madison St Ste 500, Seattle, WA 98104-1388 | 2008-06-05 |
| 1336310028 | Brian Wayne Goodell | Internal Medicine | 24705 142nd Ave Se, Kent, WA 98042-5152 | 2008-03-20 |
| 1003009259 | Providence Health & Service - Washington | Internal Medicine | 2015 Cooks Hill Rd, Suite 200, Centralia, WA 98531-9074 | 2007-08-21 |
| Find all providers with the same taxonomy | ||||
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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.