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

Dr. Garry Tim Miller II, DO

Individual provider Internal Medicine Physician · NPI 1053568592

Dr. Garry Tim Miller II, DO is an Internal Medicine in Salem, Utah. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2008, 18 years ago. Practices with Revere Health PC, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Utah.

Years since qualifying
18
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MI, UT
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

555 W Sr 164 N
Salem, UT 84653-1666
Phone: (801) 465-4813
Fax: (801) 812-5433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 7929795-1204 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101017699 (MI)

Record details

NPI number1053568592
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 27, 2008
Last updated in NPPESNovember 27, 2023
Certification dateMarch 16, 2020
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2008 (18 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Salem