MEDICARE: BRET HUNTER MILLER M.D.

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	207X00000X	Orthopaedic Surgery Physician	H2608	TX
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	H2608	TX
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	H2608	TX
4	207X00000X	Orthopaedic Surgery Physician	036.124631	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	010064217	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	119479100	OTHER	TX	FIRSTCARE
2	8A0860	OTHER	TX	BLUE CROSS BLUE SHIELD
3	119479100	OTHER	TX	SOUTHWEST LIFE & HEALTH
4	A002	OTHER	TX	TRICARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	119060	OTHER	TX	SUPERIOR HEALTH PLAN
8	178337000	OTHER	TX	US DEPARTMENT OF LABOR
9	178337000	OTHER	TX	U.S. DEPARTMENT OF LABOR

General Provider Information

NPI Number	:	1922008754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRET HUNTER MILLER M.D.

Provider Business Mailing Address
First Line	:	510 LINCOLN DRIVE
Second Line	:
City	:	HERRIN
State	:	IL
Zip	:	62948-6334
Country	:	US
Telephone Number	:	618-997-6800
Fax Number	:	616-998-9635

Provider Business Practice Location Address
First Line	:	510 LINCOLN DRIVE
Second Line	:
City	:	HERRIN
State	:	IL
Zip	:	62948-6334
Country	:	US
Telephone Number	:	618-997-6800
Fax Number	:	618-998-9635

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	02/03/2010

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Directions to “ BRET HUNTER MILLER M.D.” Practice Location

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