Individual
DR. BRETT ALLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000559257
ANTHEM
KY
05
—
200903030
—
IN
01
—
3498841000
PASSPORT ADVANTAGE
KY
01
—
50018362
PASSPORT HEALTHPLAN
KY
05
—
7100023590
—
KY
Enumeration date
02/05/2007
Last updated
12/28/2011
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