MEDICARE: BRIAN MCMILLIN HIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1124679121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MCMILLIN HIS

Provider Business Mailing Address
First Line	:	1756 RYAN ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-6050
Country	:	US
Telephone Number	:	337-433-1522
Fax Number	:

Provider Business Practice Location Address
First Line	:	1756 RYAN ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-6050
Country	:	US
Telephone Number	:	337-433-1522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2019
Last Update Date	:	09/23/2019

Similar Medicare Providers

1477104586 — COLINDA HANTZ HIS
Practice Location Address:

1756 RYAN ST
LAKE CHARLES, LA
70601-6050

Practice Phone: 337-433-1522
Practice Fax:

1669007381 — LAKE CHARLES HEARING AIDS LLC
Practice Location Address:

1756 RYAN ST
LAKE CHARLES, LA
70601-6050

Practice Phone: 337-433-1522
Practice Fax:

1043467665 — DR. MRINALINI SUJALA KODUMAGULLA M.D.
Practice Location Address:

1831 LAKE PINE DR STE 200
CARY, NC
27511-6050

Practice Phone: 919-380-1849
Practice Fax: 919-380-1851

1215162466 — WAKE FAMILY MEDICINE PC
Practice Location Address:

1831 LAKE PINE DR STE 200
CARY, NC
27511-6050

Practice Phone: 919-380-1849
Practice Fax: 919-380-1851

1912133679 — MRS. JULIE MOORE M.S. ED., CCC/SLP
Practice Location Address:

6050 FAIRWAY CT
LAKE VIEW, NY
14085-9568

Practice Phone: 716-926-1770
Practice Fax:

1386967107 — KASHMA ENTERPRISES INC
Practice Location Address:

6050 LAKE WORTH BLVD
LAKE WORTH, TX
76135-3706

Practice Phone: 817-238-7773
Practice Fax: 817-238-7791

Directions to “ BRIAN MCMILLIN HIS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.