Provider Demographics
NPI:1114025996
Name:MILLER, BIRGITTA E (MD)
Entity Type:Individual
Prefix:DR
First Name:BIRGITTA
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 MEDICAL PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:410-573-1110
Mailing Address - Fax:410-266-0714
Practice Address - Street 1:2003 MEDICAL PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-573-1110
Practice Address - Fax:410-266-0714
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
297025OtherMAMSI
MD54311304OtherBCBS
5726541OtherAETNA
P15407OtherBCBS POINT OF SERVICE
MD021794800Medicaid
1496254OtherUNITED MINE WORKERS ASSOC
DC0006OtherBCBS
0402088OtherUNITED HEALTHCARE
P171011OtherPRINCIPLE
110239978OtherMEDICARE RAILROAD
297024OtherMDIPA
DC0006OtherBCBS
P171011OtherPRINCIPLE