DR. CHARLES BROCK MILLER (M.D.) – Internal Medicine Physician, NPI 1184700254

DR. CHARLES BROCK MILLER (M.D.) is a healthcare provider. based in Jbsa lackland, Texas. specializing in INTERNAL MEDICINE, GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. U5168 (TX). The NPI Number for DR. CHARLES BROCK MILLER (M.D.) is 1184700254

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES BROCK MILLER (M.D.)
NPI
1184700254
Phone
(210) 292-4951
Address
1100 WILFORD HALL LOOP BLDG 4554
Enumeration Date
31 October 2006
Last Update Date
3 May 2024

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
2104506720
Graduation Year
2005 (21 years ago)
PAC ID
2365857034
Group Practice PAC ID
0042128548
Professional Enrollment ID
I20240410000681
Address ID
TX782494590SA4306XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. CHARLES BROCK MILLER (M.D.)

  • 1100 WILFORD HALL LOOP BLDG 4554

    JBSA LACKLAND, TX 782365638

    Phone: (210) 292-4951

    Type: Mailing

  • 1100 Wilford Hall Loop Bldg 4554

    Jbsa Lackland, TX 78236

    Phone: (210) 292-4951

    Type: Location

  • 8435 WURZBACH RD STE 305

    SAN ANTONIO, TX 782293374

    Phone: (210) 450-9800

    Fax: (210) 450-4967

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: ERBE USA Inc ($81).

Total Amount

$106

General + Research + Ownership

Payments

2

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2024-04-10

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
I20240410000681IGastroenterologyTXTBD

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 78236)

Loading plans...

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: 0042128548View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DR. CHARLES BROCK MILLER (M.D.)?
The federal identifier for DR. CHARLES BROCK MILLER (M.D.) is NPI 1184700254.
Is DR. CHARLES BROCK MILLER (M.D.)'s NPI currently valid?
The extract we use shows DR. CHARLES BROCK MILLER (M.D.) as active.
Does DR. CHARLES BROCK MILLER (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. CHARLES BROCK MILLER (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. CHARLES BROCK MILLER (M.D.)'s primary listing?
We display Jbsa Lackland, Texas because that is what the record indicates for DR. CHARLES BROCK MILLER (M.D.).
What if Jbsa Lackland, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.