Dr. Bradley J. Miller DO - Family Medicine Physician in Hagerstown, Maryland | ProviderWire

Full Name

Dr. Bradley John Miller DO

NPI Number

1255368130

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/27/2006

Specialties

(Taxonomies)

Name

Family Medicine Physician

Addiction Medicine (Family Medicine) Physician

Code

207Q00000X

207QA0401X

Primary Taxonomy

Yes

No

Licenses

State

Maryland

Pennsylvania

Pennsylvania

License Number

H89171

OS10455L

OS010455L

Contact
Information

Purpose

Mailing

Location

Address

11110 MEDICAL CAMPUS RD STE 200

11110 MEDICAL CAMPUS RD STE 200

City

Hagerstown

Hagerstown

State

MD

MD

Postal Code

21742-6797

21742-6797

Country

US

US

Telephone Number

N/A

(301) 714-4400

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/26/2020

Provider Address

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