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STEPHEN BODIE MILLER PA-C
NPI 1164012282
Physician Assistant - Medical in Rockledge, FL

Active since January 22, 2021PECOS Enrolled
1950 ROCKLEDGE BLVD, ROCKLEDGE, FL 32955(321) 636-0005(321) 636-9030 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Mar 1, 2021, Jan 22, 2021 (3 updates tracked since 2021).

About Stephen Bodie Miller Pa-c NPPES

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

STEPHEN BODIE MILLER PA-C (NPI 1164012282) is an individual medical provider in Rockledge, Florida and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Merritt Island.

NPPES Registry Identity

NPI1164012282
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSTEPHEN BODIE MILLERCredential: PA-C
Location Address1950 ROCKLEDGE BLVDRockledge, FL 32955-3771
Mailing Address1950 Rockledge Blvd Ste 101Rockledge, FL 32955-3763 · (321) 636-0005 · Fax (321) 636-9030
Phone(321) 636-0005
Fax(321) 636-9030
Sole ProprietorNo
Enumeration DateJanuary 22, 2021
Last NPPES UpdateMay 28, 20243 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1164012282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1950 ROCKLEDGE BLVD, Rockledge, FL 32955
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Secondary Practice Location 1

Location 11205 N Courtenay PkwyMerritt Island, FL 32953-5519 · Phone (321) 636-0005 ext. 2 · Fax (321) 636-9030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Bodie Miller Pa-c 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.

Other Providers at the Same Location NPPES 6

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

WOUND CARE STORE LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1950 ROCKLEDGE BLVD, SUITE 109
ROCKLEDGE, FL 32955
Brevard County (321) 638-0880
DAVID A SIMONSON DPM PA
Prosthetic/Orthotic Supplier
1950 ROCKLEDGE BLVD, STE# 107
ROCKLEDGE, FL 32955
Brevard County (321) 638-2121
ROCKLEDGE DENTAL PA
Dentist
1950 ROCKLEDGE BLVD, 207
ROCKLEDGE, FL 32955
Brevard County (321) 632-1820
KELLIE MARIE MUELLER P.A
Physician Assistant (Medical)
1950 ROCKLEDGE BLVD, SUITE 101
ROCKLEDGE, FL 32955
Brevard County (321) 636-0005
MRS. PATRICIA JUNE PHILBRICK APRN
Nurse Practitioner
1950 ROCKLEDGE BLVD, STE 101
ROCKLEDGE, FL 32955
Brevard County (321) 636-0005
DR. DAVID ANDREW SIMONSON DPM
Podiatrist
1950 ROCKLEDGE BLVD, STE# 107
ROCKLEDGE, FL 32955
Brevard County (321) 638-2121

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 Stephen Miller's NPI number?

The NPI number for Stephen Miller is 1164012282. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Stephen Miller located?

Stephen Miller practices at 1950 Rockledge Blvd, Rockledge, FL 32955. The listed phone number is (321) 636-0005.

What is Stephen Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stephen Miller enrolled in Medicare?

Yes. Stephen Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Miller was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.