Individual
BRET HUNTER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 LINCOLN DRIVE, HERRIN, IL 62948-6334
(618) 997-6800
(618) 998-9635
Mailing address
510 LINCOLN DRIVE, HERRIN, IL 62948-6334
(618) 997-6800
(616) 998-9635
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.124631
IL
207X00000X
Orthopaedic Surgery Physician
H2608
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
H2608
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
H2608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010064217
MEDICARE RAILROAD
TX
05
—
1187270-01
—
TX
01
—
119060
SUPERIOR HEALTH PLAN
TX
01
—
119479100
FIRSTCARE
TX
01
—
178337000
US DEPARTMENT OF LABOR
TX
01
—
8A0860
BLUE CROSS BLUE SHIELD
TX
01
—
A002
TRICARE
TX
Enumeration date
07/22/2005
Last updated
02/03/2010
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