Individual
BRANDON M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(317) 250-3061
Mailing address
707 S GRANT ST, BLOOMINGTON, IN 47401-4732
(317) 250-3061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
71014556A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300083362
—
IN
Enumeration date
09/29/2011
Last updated
12/01/2025
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