DR. BRAD W MILLER (NPI# 1285611798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285611798 |
| Entity Type | Individual |
| Full Name | DR. BRAD W MILLER |
| Credential | M.D. |
| Practice Address |
2000 Brookside Dr Kingsport TN 37660-4627 |
| Mailing Address |
1920 Brookside Dr Suite 9 Kingsport TN 37660-4613 |
| Practice Telephone | 4238577000 |
| Mailing Telephone | 4232462040 |
| Mailing Fax Number | 4232462392 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2010-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
18757 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609157965 | Brad Lamar Miller | Chiropractor | 195 E Gentile St Ste 7, Layton, UT 84041 | 2011-08-31 |
| 1679609531 | Brad T. Miller | Chiropractor | 1072 Bristol St, Ste. 101, Costa Mesa, CA 92626-8652 | 2007-02-26 |
| 1831694108 | Brad Miller | Community/Behavioral Health | 1895 Oakwood Ave, Napoleon, OH 43545-9243 | 2018-03-28 |
| 1487082004 | Brad Miller | Social Worker | 34 N Main St, Warsaw, NY 14569-1326 | 2013-10-16 |
| 1861530651 | Brad Miller | Psychologist | 9666 Businesspark Ave, Suite 106, San Diego, CA 92131-1646 | 2007-02-02 |
| Street Address |
2000 BROOKSIDE DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205825528 | Carol Ann Brown | Nurse Anesthetist, Certified Registered | 2000 Brookside Dr, Kingsport, TN 37660 | 2005-10-19 |
| 1548734338 | Jennifer Leigh Johnson | Nurse Practitioner | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2019-01-15 |
| 1730628785 | Amanda Genco | Clinical Nurse Specialist | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2017-02-22 |
| 1669918314 | Blue Ridge Medical Management Corporation | Hospitalist | 2000 Brookside Dr, 1st Floor Room 12, Kingsport, TN 37660-4627 | 2017-01-18 |
| 1134585326 | Michael John May | Nurse Practitioner | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2016-01-05 |
| 1386039006 | Susan Netherland | Occupational Therapist | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2015-03-31 |
| 1467859066 | Ariel Rockett | Physical Therapist | 2000 Brookside Dr, Kingsport, TN 37660 | 2014-11-25 |
| 1881097913 | Randi Teaster | Nurse Practitioner | 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 | 2014-10-03 |
| 1043627441 | Valley Ridge Emergency Physicians, LLP | Emergency Medicine | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2014-07-17 |
| 1184053472 | Madonna Lin Banks | Registered Nurse | 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| 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 |
|---|---|---|---|---|
| 1841278702 | Kris B Saadeh | Radiology | 130 W. Ravine, Kingsport, TN 37660 | 2006-01-02 |
| 1568737666 | Jonathan Spencer Suther | Radiology | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2012-03-21 |
| 1912130030 | Jayson Vittori | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2009-08-24 |
| 1497901854 | Amanda Davis Ingram | Radiology | 103 W Stone Dr, Kingsport, TN 37660 | 2008-08-15 |
| 1720253826 | Laura Austin Slusher | Radiology | 103 W Stone Dr, Kingsport, TN 37660 | 2008-04-29 |
| 1780895284 | Jason A. Hill | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2007-05-25 |
| 1437228053 | Richard T. Kubota | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2006-11-07 |
| 1821029364 | Rekha Jain | Radiology | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2006-07-05 |
| 1720018724 | Tri City Radiology Group, PC | Radiology | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2006-07-04 |
| 1528025673 | Paul D Ellis | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2006-05-01 |
| Find all providers in KINGSPORT | ||||
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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.