Healthcare Provider Details

I. General information

NPI: 1033791173
Provider Name (Legal Business Name): BRYAN MILLER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 04/27/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7581 E ACADEMY BLVD UNIT 101
DENVER CO
80230-7106
US

IV. Provider business mailing address

8155 E FAIRMOUNT DR UNIT 1533
DENVER CO
80230-6836
US

V. Phone/Fax

Practice location:
  • Phone: 303-343-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberCHR.0008190
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0008190
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: