| Eric Bradley Miller, MD | |
|
450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914-5300 | |
| (401) 435-6600 | |
| Not Available |
| Full Name | Eric Bradley Miller |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 450 Veterans Memorial Pkwy, E Providence, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194829366 | NPI | - | NPPES |
| 20354 | Other | RI | BLUE SHIELD |
| 9020122 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD08216 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Westerly Hospital | Westerly, RI | Hospital |
| The Miriam Hospital | Providence, RI | Hospital |
| Rhode Island Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20170518000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Bradley Miller, MD 58 Albert Ave, Cranston, RI 02905-3810 Ph: (401) 435-6600 | Eric Bradley Miller, MD 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914-5300 Ph: (401) 435-6600 |
Rashmi S Licht, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914 Phone: 401-435-6600 | |
Bernard A Moule, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914 Phone: 401-435-6600 | |
Kennon Miller, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914 Phone: 401-435-6600 |