Garrett Bruce Miller
Specialist/Technologist, Athletic Trainer in Clarksboro, NJ. Individual provider (NPI-1).
NPI number1871109751
StatusActive
Last updated in NPPESOct 13, 2021
Details
- NPI
- 1871109751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Garrett Bruce Miller
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2020
- Certification date
- Oct 13, 2021
- Last updated
- Oct 13, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 800234804 | WV |
Practice location
28 E Cohawkin RdClarksboro, NJ 08020-1344
Phone 609-254-6609
Mailing address
28 E Cohawkin RdClarksboro, NJ 08020-1344
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.