Bruce Everett Miller , PA-C
Physician Assistant - Medical • Saint Cloud, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bruce Miller has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Bruce Miller, PA-C was a registered Physician Assistant - Medical practicing in Saint Cloud, MN. Throughout an active medical career spanning 18 years, Bruce Miller provided care at the practice location at 4801 VETERANS DR until profile deactivation on 2024-09-04.
Practice Location & Contact Primary Location
4801 Veterans Dr
Saint Cloud, MN 563032015
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant - Medical in Saint Cloud, MN
Practicing in Saint Cloud, MN (465 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363AM0700X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Registered Nurse
Registered Nurse
Social Worker - Clinical
Master of Social Work
Social Worker - Clinical
Master of Social Work, LGSW
Optometrist
Doctor of Optometry
Registered Nurse - Psychiatric/Mental Health, Adult
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 04, 2024
NPI status registered as active in NPPES database
Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202556480)
Registered at 416 12TH ST N, SARTELL, MN 563771407
Recorded as BRUCE MILLER, PA-C
Physician Assistant (License #9169 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
416 12th St N
Sartell, MN 563771407
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