MILLER DIVERSIFIED CLINICAL LLC
NPI 1104756667
Internal Medicine in Maplewood, MO
NPI Status: Active since May 19, 2026
Contact Information
7203 SARAH ST APT 1
MAPLEWOOD, MO
ZIP 63143
Phone: (314) 669-1445
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- Internal Medicine
About MILLER DIVERSIFIED CLINICAL LLC
This page provides the complete NPI Profile along with additional information for Miller Diversified Clinical Llc, an internist established in Maplewood, Missouri operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1104756667 assigned on May 2026. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated May 2026. Miller Diversified Clinical Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Bernard Victor Miller Iii Md (Ceo/member)
- NPI
- 1104756667
- Provider Name
- MILLER DIVERSIFIED CLINICAL LLC
- Entity Type
- Organization
- Location Address
- 7203 SARAH ST APT 1 MAPLEWOOD, MO 63143
- Location Phone
- (314) 669-1445
- Mailing Address
- PO BOX 434091 MAPLEWOOD, MO 63143
- Mailing Phone
- (314) 669-1445
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2026
- Last Update Date
- 05-19-2026
- Code Navigator
An internist like Miller Diversified Clinical Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104756667, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MAPLEWOOD, MO 63143
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104756667, enumerated as an "organization" on May 19, 2026.
The provider is located at 7203 SARAH ST APT 1 MAPLEWOOD, MO 63143 and the phone number is (314) 669-1445.
Internal Medicine with taxonomy code 207R00000X.