Bradley Wayne Miller, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C013400 Issued in NC

Practice address

1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876

Phone

(919) 934-1312

NPI assigned

Jun 14, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradleymiller@tdh.allscriptsdirect.net

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.

• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1760420186

  Clinical

  Medicare reassignment NPD
• Lavni, Inc

  • Community/Behavioral Health Agency
  • Henderson, NC
  • NPI 1215673256
  Medicare reassignment
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1124512066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275761048",
            "telephone_number": "919-903-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N BRIGHTLEAF BLVD STE F",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774876",
            "telephone_number": "919-934-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Campground Rd Lot 22",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "NC",
            "postal_code": "275768947",
            "country_code": "US",
            "telephone_number": "919-903-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2416 Bedgood Dr SW",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278938515",
            "country_code": "US",
            "telephone_number": "252-265-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRADLEY",
        "middle_name": "WAYNE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Aleta Merritt-James, NP
• Karen H Merritt, CPNP
• Andrea Messer
• Emily Hunter Metze, SLP
• Millennia Cardiovascular, P.a.
• Mills & Salter Smithfield O.D. P.a. (Doctors Vision Center)
• Jamie Le Minn
• Mobi Health LLC
• Mohamed & Associates Urology Center, PA
• Adel W Mohamed, M.D.

• Clinical Social Worker in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.