BRADLEY MILLER (M.D.) – Pediatric Endocrinology Physician, NPI 1184633059

BRADLEY MILLER (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ENDOCRINOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 41017 (MN). The NPI Number for BRADLEY MILLER (M.D.) is 1184633059

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY MILLER (M.D.)
NPI
1184633059
Phone
(612) 624-5409
Address
420 DELAWARE ST SE
Enumeration Date
7 August 2006
Last Update Date
23 April 2015

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
8224930847
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20040123000749
Address ID
MN554541450MI2450XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

194 ENDOCRINOLOGY in MN

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Provider Addresses for BRADLEY MILLER (M.D.)

  • Mayo Memorial Building, 420, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States

    MMC 404 UNIVERSITY OF MINNESOTA

    MINNEAPOLIS, MN 55455

    Phone: (612) 624-5409

    Fax: (612) 626-5262

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 147 Open Payments records for all available years, with a total value of $204,361.

Total Amount is formed as General ($200,381) + Research ($3,980) + Ownership ($0) = $204,361.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novo Nordisk Health Care AG ($47,860).

Total Amount

$204,361

General + Research + Ownership

Payments

147

Total payment records

General Amount

$200,381

General payments

Research Amount

$3,980

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040123000749IEndocrinologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Does BRADLEY MILLER (M.D.) have a public NPI I can cite?
Public records show BRADLEY MILLER (M.D.) under NPI 1184633059.
Is BRADLEY MILLER (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists BRADLEY MILLER (M.D.) as active.
What does the directory say BRADLEY MILLER (M.D.) does?
Insurance directories may phrase it differently, but here BRADLEY MILLER (M.D.) maps to Pediatric Endocrinology Physician. Clinical services aligned with this taxonomy classification.
Is BRADLEY MILLER (M.D.) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, BRADLEY MILLER (M.D.) may be relevant to your search.
Why is information missing for BRADLEY MILLER (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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