Individual
BRENT WILLIAM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01081135A
IN
207RN0300X
Nephrology Physician
Primary
01081135A
IN
207RN0300X
Nephrology Physician
101582
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209804806
—
MO
05
—
300020355
—
IN
05
—
ENROLLED
—
IL
Enumeration date
07/18/2006
Last updated
08/11/2025
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