Provider Demographics
NPI:1497139828
Name:MILLER, BRIGHTON RICHIE (DO)
Entity Type:Individual
Prefix:
First Name:BRIGHTON
Middle Name:RICHIE
Last Name:MILLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 S US HIGHWAY 75
Mailing Address - Street 2:ATTN: RESIDENCY PROGRAM
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4584
Mailing Address - Country:US
Mailing Address - Phone:714-414-6339
Mailing Address - Fax:903-416-6195
Practice Address - Street 1:5016 S US HIGHWAY 75
Practice Address - Street 2:ATTN: RESIDENCY PROGRAM
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4584
Practice Address - Country:US
Practice Address - Phone:714-414-6339
Practice Address - Fax:903-416-6195
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10054763 594753207Q00000X
TXR0908207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1497139828OtherNPI
TXR0908OtherTEXAS MEDICAL BOARD LICENSE