MEDICARE: DR. ROBERT BRUCE MILLER 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	A76380	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841293271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BRUCE MILLER MD

Provider Business Mailing Address
First Line	:	PO BOX 8310
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94537-8310
Country	:	US
Telephone Number	:	510-795-7746
Fax Number	:	510-795-7710

Provider Business Practice Location Address
First Line	:	4535 MATTOS DRIVE
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-6719
Country	:	US
Telephone Number	:	510-795-7746
Fax Number	:	510-795-7710

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	04/20/2011

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