Active NPIIndividual provider

Dr. Jack R Millard, MD

Radiology, Diagnostic Radiology in Putnam, Connecticut

NPI Number1306822259
Practice location
320 Pomfret St, Department Of Radiology, Putnam, CT 06260-1836
Fax
860-963-6335
Last updated
July 13, 2026

Jack Richard Millard is a Radiology, Diagnostic Radiology based in Putnam, CT. Jack Richard Millard practices in Putnam, CT and has the professional credentials of MD. The NPI Number for Jack Richard Millard is 1306822259 and holds a License No. 15156 (CT). The current practice location address for Jack Richard Millard is 320 Pomfret St, Department Of Radiology, Putnam, CT 06260-1836 and can be reached out via phone at 860-963-6356 and via fax at 860-963-6335.

Provider Profile Details

NPI Number
1306822259
Provider Name
Jack Richard Millard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
320 Pomfret St, Department Of Radiology, Putnam, CT 06260-1836
Phone Number
860-963-6356
Fax Number
860-963-6335
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
December 21, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
320 Pomfret St
Department Of Radiology
Putnam, CT 06260-1836
City
Putnam
Zip
06260-1836
Phone Number
860-963-6356
Fax Number
860-963-6335
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
25 Rocky Pond RD
Boylston, MA 01505-1511
City
Boylston
State
MA
Zip
01505-1511
Phone Number
860-963-6356

License Information

License Number
15156
License State
CT
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Radiology, Diagnostic Radiology providers near Putnam, CT

View all Radiology, Diagnostic Radiology providers in Putnam →

Frequently Asked Questions

What is the NPI number of Dr. Jack R Millard, MD?

The NPI number of Dr. Jack R Millard, MD is 1306822259. It was assigned on December 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jack R Millard, MD?

Dr. Jack R Millard, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CT under license number 15156.

Where does Dr. Jack R Millard, MD practice?

The practice location is 320 Pomfret St, Department Of Radiology, Putnam, CT 06260-1836. The office can be reached at 860-963-6356 (phone) or 860-963-6335 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306822259 directly on the NPPES registry website.

Browse related providers