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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MILLER DIVERSIFIED CLINICAL LLC
NPI 1104756667
Internal Medicine in Maplewood, MO

Active since May 19, 2026
7203 SARAH ST APT 1, MAPLEWOOD, MO 63143(314) 669-1445 Get Directions Write a Review

NPPES record added: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miller Diversified Clinical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLER DIVERSIFIED CLINICAL LLC (NPI 1104756667) is a healthcare organization registered as an internal medicine in Maplewood, Missouri and active in the NPI registry since May 2026. The organization lists Bernard Victor Miller, Ceo/member, as its authorized official.

NPPES Registry Identity

NPI1104756667
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMILLER DIVERSIFIED CLINICAL LLC
Location Address7203 SARAH ST APT 1Maplewood, MO 63143-2418
Mailing AddressPo Box 434091Maplewood, MO 63143-4094 · (314) 669-1445
Phone(314) 669-1445
Organization SubpartNo
Authorized OfficialBernard Victor MillerCeo/member · (314) 669-1445
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1104756667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
7203 SARAH ST APT 1, Maplewood, MO 63143
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILLER DIVERSIFIED HEALTH PARTNERSHIPS LLC
Internal Medicine (Geriatric Medicine)
7203 SARAH ST APT 1
MAPLEWOOD, MO 63143
St. Louis County (314) 669-1445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miller Diversified Clinical LLC's NPI number?

The NPI number for Miller Diversified Clinical LLC is 1104756667. It was assigned to this organization in the NPPES registry on May 19, 2026.

Where is Miller Diversified Clinical LLC located?

Miller Diversified Clinical LLC is located at 7203 Sarah St Apt 1, Maplewood, MO 63143. The listed phone number is (314) 669-1445.

What is Miller Diversified Clinical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Miller Diversified Clinical LLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.