MYRANDA BROOKE FILLMAN MD
NPI 1114712270
Student in an Organized Health Care Education/Training Program in Wilmington, DE

Q: What is Myranda Fillman's NPI number?

The NPI number for Myranda Fillman is 1114712270. It was assigned to this individual provider in the NPPES registry on April 10, 2025. The provider is also known as Myranda Brooke Gormley.

Q: What is Myranda Fillman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Myranda Fillman was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2025PECOS Enrolled

1600 ROCKLAND RD STE 3D16, WILMINGTON, DE 19803(302) 651-5874(302) 651-5954 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2025, Apr 10, 2025 (2 updates tracked since 2025).

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About Myranda Brooke Fillman Md NPPES

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

MYRANDA BROOKE FILLMAN MD (NPI 1114712270) is an individual student in an organized health care education/training program in Wilmington, Delaware and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114712270

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMYRANDA BROOKE FILLMANCredential: MD

Location Address1600 ROCKLAND RD STE 3D16Wilmington, DE 19803-3607

Mailing Address1600 Rockland Rd Ste 3d16Wilmington, DE 19803-3607 · (302) 651-5874

Phone(302) 651-5874

Fax(302) 651-5954

Sole ProprietorNo

Enumeration DateApril 10, 2025

Last NPPES UpdateJune 17, 20252 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1114712270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1600 ROCKLAND RD STE 3D16, Wilmington, DE 19803

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Other Names 1

Former Name (1)Myranda Brooke Gormley

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myranda Brooke Fillman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

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

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