Active NPI
Brian L Miller, CRNA
- Certified Registered Nurse Anesthetist
- Viroqua, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 121273030
- Practice address
- 507 S Main St
Viroqua, WI 54665-2059 - Phone
- (608) 637-4230
- Fax
- (608) 637-4214
- NPI assigned
- Jan 31, 2007
- Last updated
- Oct 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 121273030 | WI | Primary |
Addresses
Primary practice location
507 S Main St
Viroqua, WI 54665-2059
Mailing address
507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121273030 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernon Memorial Healthcare, Inc. | Current | Accepting new patients | |
| Richland Hospital | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Richland Hospital | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Assoc Inc | Current | Accepting new patients |
Locations
37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000
333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161
507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Richland Center, WI
- NPI 1659301273
-
dba Crossing Rivers Health
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
dba Vernon Health
- Critical Access Hospital
- Viroqua, WI
- NPI 1497750921
-
- Family Medicine Physician
- Fennimore, WI
- NPI 1760808968
-
dba Community Pharmacy at The Richland Hospital
- Community/Retail Pharmacy
- Richland Center, WI
- NPI 1558127480
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Richland Center, WI
- NPI 1659301273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506816000000",
"number": "1083751903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S MAIN ST",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546652059",
"telephone_number": "608-637-2101",
"fax_number": "608-638-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S MAIN ST",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546652059",
"telephone_number": "608-637-4230",
"fax_number": "608-637-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRIAN",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2017-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "121273030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.