National Provider Identifier

Brent Paul Miller, D.O.

Brent Paul Miller, D.O. is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 247-4770.

NPI 1134567944Rochester, NYSurgery Physician

Profile Overview

NPI
1134567944
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
June 13, 2013
Last Updated
June 24, 2020

Practice Location

  • 99 Canal Landing Blvd Ste 6
  • Rochester, NY 14626-5112

Phone: (585) 247-4770

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1134567944
Entity Type
Individual
Last Name
Miller
First Name
Brent
Middle Name
Paul
Credential
D.O.
Mailing Street Address
99 Canal Landing Blvd Ste 6
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-5112
Mailing Country
US
Mailing Phone
(585) 247-4770
Mailing Fax
(585) 247-4268
Practice Street Address
99 Canal Landing Blvd Ste 6
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-5112
Practice Country
US
Practice Phone
(585) 247-4770
Practice Fax
(585) 247-4268
Enumeration Date
June 13, 2013
Last Updated
June 24, 2020
Sex
Male
Sole Proprietor
No
Certification Date
June 24, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)
Other Identifiers
05270080 (NY)