Bradley W Miller (NPI# 1710295670, PAC ID# 5092909440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1710295670 |
| PAC ID by PECOS | 5092909440 |
| Professional Enrollment ID | I20101030000092 |
| Full Name | Bradley W Miller |
| Organization Legal Name | BELLIN MEMORIAL HOSPITAL INC |
| Address |
401 W Mill St Bonduel WI 54107-9246 |
| Phone Number | 7157582167 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8820900749 |
| Number of Group Practice Members | 410 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| 521346 | SHAWANO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 401 W Mill St, Bonduel, WI 54107-9246 | 7157582167 | BELLIN MEMORIAL HOSPITAL INC |
| 1630 Commanche Ave, Green Bay, WI 54313-5753 | 9204304700 | BELLIN MEMORIAL HOSPITAL INC |
| 1630 Commanche Ave, Suite 102, Green Bay, WI 54313-5753 | 9204336000 | BELLIN MEMORIAL HOSPITAL INC |
| 405 Commercial St, Seymour, WI 54165-8474 | 9208332318 | BELLIN MEMORIAL HOSPITAL INC |
| 607 E Bronson Rd, Seymour, WI 54165-1040 | 9208336856 | BELLIN MEMORIAL HOSPITAL INC |
| 307 Manor Dr, Suring, WI 54174-9182 | 9208422144 | BELLIN MEMORIAL HOSPITAL INC |
| 430 Manor Dr, Suring, WI 54174-9182 | 9208422191 | BELLIN MEMORIAL HOSPITAL INC |
| Organization Legal Name | BELLIN MEMORIAL HOSPITAL INC |
| Physicians | 355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl L Bailey | Obstetrics/gynecology | Bellin Memorial Hospital Inc | 720 S Van Buren St, Suite 101, Green Bay, WI 54301-3534 |
| Kathryn A Engelhardt | Qualified Audiologist | Bellin Memorial Hospital Inc | 923 Eliza St, Green Bay, WI 54301-3234 |
| Cassandra M Motkowski | Nurse Practitioner | Bellin Memorial Hospital Inc | 107 E Highland Dr, Oconto Falls, WI 54154-1002 |
| Megan A Cassai | Nurse Practitioner | Bellin Memorial Hospital Inc | 3200 Shore Dr, Marinette, WI 54143-4202 |
| Alex N Smithback | Physical Therapy | Bellin Memorial Hospital Inc | 140 B School Creek Trl, Luxemburg, WI 54217-1095 |
| Kelly J Klika | Physical Therapy | Bellin Memorial Hospital Inc | 1800 Lawrence Dr, De Pere, WI 54115-9108 |
| Jacob R Birdsall | Physical Therapy | Bellin Memorial Hospital Inc | 511 N 3rd St, Sturgeon Bay, WI 54235-2323 |
| Michael K Schumacher | Physical Therapy | Bellin Memorial Hospital Inc | 2714 Riverview Dr, Green Bay, WI 54313-6715 |
| Kayla Lynn Konen | Physical Therapy | Bellin Memorial Hospital Inc | 831 Parker Ave, Algoma, WI 54201-1808 |
| Daniel Brian Johnson | Nurse Practitioner | Bellin Memorial Hospital Inc | 440 Woodward Ave, Bellin Health, Iron Mountain, MI 49801-4631 |
| Street Address |
401 W MILL ST |
| City | BONDUEL |
| State | WI |
| Zip | 54107-9246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy C Nanna | Clinical Social Worker | 401 W Mill St, Ukiah, CA 95482-5435 | |
| Vanessa Vagt | Psychologist, Clinical | 401 W Mill St, Ukiah, CA 95482-5435 | |
| James W Gast | Family Medicine | Bellin Memorial Hospital Inc | 401 W Mill St, Bonduel, WI 54107-9246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie J Bonnin | Family Medicine | Aurora Medical Group Inc | 101 Express Way, Bonduel, WI 54107-9041 |
| Emily J Doyle | Nurse Practitioner | Aurora Medical Group Inc | 101 Express Way, Bonduel, WI 54107-9041 |
| Scott A Laux | Chiropractic | 235 S Cecil St, Bonduel, WI 54107-9292 |
| City | BONDUEL |
| Zip Code | 54107 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BONDUEL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bradley W Miller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.