BRENDAN MILLER


Address: 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206
Phone: 8003219999

BRENDAN MILLER (NPI# 1255814216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255814216
Entity Type Individual
Full Name BRENDAN MILLER
Credential LAT, ATC
Practice Address 925 Chestnut St Fl 5
Philadelphia
PA 19107-4206
Mailing Address 1146 E Woodlawn Ave
Philadelphia
PA 19138-1838
Practice Telephone 8003219999
Mailing Telephone 7176492726
Enumeration Date 2018-09-14
Last Update Date 2019-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
105 Pucillo Dr., Millersville, PA 17551 7176492726

Other Providers BRENDAN MILLER

NPI Name Taxonomy Address Enumeration
1851742472 Brendan Miller Nurse Practitioner 1012 Union St, Bangor, ME 04401-3060 2016-06-24

Office Location

Street Address 925 CHESTNUT ST FL 5
City PHILADELPHIA
State PA
Zip Code 19107-4206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104822337 John Joseph Pell Orthopaedic Surgery 925 Chestnut St Fl 5, Rothman Institute, Philadelphia, PA 19107-4206 2005-06-22
1669086872 Rothman Orthopaedics of Florida Family Medicine 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 2020-09-04
1427687185 Benjamin Read Campbell Student in an Organized Health Care Education/Training Program 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 2020-04-05
1386273019 Ariana Alexis Reyes Student in an Organized Health Care Education/Training Program 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 2020-04-04
1487283222 William L. Johns Jr. Student in an Organized Health Care Education/Training Program 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 2020-04-03
1629607411 Karan Goswami Student in an Organized Health Care Education/Training Program 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 2020-04-03
1659902021 Amir Reza Kachooei Student in an Organized Health Care Education/Training Program 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 2020-02-04
1114583200 Matthew Brody Physical Therapist 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 2019-05-14
1760047096 Tristan Blase Fried Student in an Organized Health Care Education/Training Program 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 2019-05-02
1417510678 Bryson Kemler Student in an Organized Health Care Education/Training Program 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 2019-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841891108 Sydney Charles Specialist/Technologist 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 2020-11-03
1114528684 Kelsey E Craig Specialist/Technologist 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 2020-11-02
1740881333 David Williams Specialist/Technologist 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 2020-11-02
1992305940 Alexandra Bossi Specialist/Technologist 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 2020-10-29
1427661842 Autumn Kelly Specialist/Technologist 3300 Henry Ave Apt 522, Philadelphia, PA 19129-1160 2020-08-25
1558984609 Keri Lapinski Specialist/Technologist 929 N 6th St Apt 2, Philadelphia, PA 19123-1405 2020-05-24
1356975445 Shaun Shields Specialist/Technologist 1814 N. Broad Street, Philadelphia, PA 19121 2020-02-27
1619500410 Halie Ann Maria Hurtado Specialist/Technologist 1000 S Broad St Apt 833, Philadelphia, PA 19146-2261 2020-02-20
1215569561 Danielle Quigley Specialist/Technologist 6903 Shalkop St, Philadelphia, PA 19128-3218 2020-02-05
1457982076 Jacie Fabro Specialist/Technologist 4136 Mitchell St Apt 407, Philadelphia, PA 19128-3511 2020-02-02
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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