Provider Demographics
NPI:1013320860
Name:MILLER, BRANDEN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDEN
Middle Name:JAMES
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 SUNSET DR STE 4
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-9114
Mailing Address - Country:US
Mailing Address - Phone:515-954-4701
Mailing Address - Fax:515-954-4702
Practice Address - Street 1:2251 SUNSET DR STE 4
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211-9114
Practice Address - Country:US
Practice Address - Phone:515-954-4701
Practice Address - Fax:515-954-4702
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA072909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor