GARY MILLER MD LLC
NPI 1396713061
Internal Medicine in Bristol, CT

Active since March 09, 2006
61 BRADLEY ST, BRISTOL, CT 06010(860) 314-6898(860) 314-6896 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gary Miller Md Llc NPPES

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

GARY MILLER MD LLC (NPI 1396713061) is a healthcare organization registered as an internal medicine in Bristol, Connecticut and active in the NPI registry since March 2006. The organization lists Gary Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1396713061
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGARY MILLER MD LLC
Location Address61 BRADLEY STBristol, CT 06010
Mailing Address61 Bradley StBristol, CT 06010 · (860) 314-6898 · Fax (860) 314-6896
Fax(860) 314-6896
Organization SubpartNo
Authorized OfficialGary MillerOwner · (860) 314-6898
Enumeration DateMarch 9, 2006
Last NPPES UpdateNovember 24, 2009
✔ NPI 1396713061 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.
61 BRADLEY ST, Bristol, CT 06010

Other Identifiers 3

Other07D0092369Clia
Medicaid004220985CT
Medicare ID-Type UnspecifiedC02828

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Miller Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20050310000469Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gary Miller MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1528027430
100 N MOUNTAIN RD
Canton, CT 06019
(860) 558-3662
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gary Miller MD LLC's NPI number?

The NPI number for Gary Miller MD LLC is 1396713061. It was assigned to this organization in the NPPES registry on March 9, 2006.

Where is Gary Miller MD LLC located?

Gary Miller MD LLC is located at 61 Bradley St, Bristol, CT 06010. The listed phone number is (860) 314-6898.

What is Gary Miller MD LLC's specialty?

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

Is Gary Miller MD LLC enrolled in Medicare?

Yes. Gary Miller MD LLC is registered in the Medicare PECOS enrollment system.

When is Gary Miller MD LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gary Miller MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Gary Miller MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gary Miller MD LLC was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.