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

Individual provider Obstetrics & Gynecology Physician · NPI 1003915968

Jay James Miller, MD is an Urology in Bloomington, Illinois. Graduated from Southern Illinois University School of Medicine in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

107 N Regency Dr Ste 2
Bloomington, IL 61701
Phone: (309) 665-0900
Fax: (309) 665-0901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence 036-108046 (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 036-108046 (IL)

Record details

NPI number1003915968
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJanuary 3, 2013
Mailing address107 N Regency Dr, Suite 2, Bloomington, IL 61701

Medicare enrollment

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

Medicare specialtyUROLOGY
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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