Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broc Douglas Miller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740985571

Broc Douglas Miller is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-5348
Fax: (434) 924-8335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1740985571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateApril 1, 2023
Mailing address1215 Lee St Box 800499, Charlottesville, VA 22908-0816

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