MEDICARE: DR. BRENT L MILLET MD

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	208100000X	Physical Medicine & Rehabilitation Physician	MD052847L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50048433	OTHER	PA	KEYSTONE CENTRAL
2	5248008	OTHER	PA	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	32210	OTHER	PA	GEISINGER
5	0734803000	OTHER	PA	KEYSTONE EAST
6	531751	OTHER	PA	AMERIHEALTH ADMIN
7	P3626762	OTHER	PA	OXFORD
8	50048433	OTHER	PA	BLUE CROSS
9	821049	OTHER	PA	FIRST PRIORITY HEALTH
10	531751	OTHER	PA	KEYSTONE CENTRAL
11	531751	OTHER	PA	BLUE SHIELD

General Provider Information

NPI Number	:	1639161961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENT L MILLET MD

Provider Business Mailing Address
First Line	:	1605 N CEDAR CREST BLVD STE 411
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-2323
Country	:	US
Telephone Number	:	610-969-1917
Fax Number	:	484-664-7659

Provider Business Practice Location Address
First Line	:	2597 SCHOENERSVILLE RD STE 101
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-7329
Country	:	US
Telephone Number	:	610-402-3560
Fax Number	:	610-402-3355

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	04/13/2026

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Directions to “ DR. BRENT L MILLET MD” Practice Location

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