Brynley Rae Miller, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP026800 Issued in PA

Practice address

702 Gordon Dr
Exton, PA 19341-1253

Phone

(610) 363-1330

Fax

(610) 524-8574

NPI assigned

Dec 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brynley Rae Granata Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Star Pediatrics, LLC

  • Pediatrics Physician
  • Exton, PA
  • NPI 1033287552
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1194437467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411253",
            "telephone_number": "610-363-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411253",
            "telephone_number": "610-363-1330",
            "fax_number": "610-524-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRYNLEY",
        "middle_name": "RAE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP026800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNLEY",
            "last_name": "GRANATA",
            "middle_name": "RAE",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eduardo Meza, MD
• Michael S. Caltabiano DMD LLC
• Herman J Michael Jr., MD
• Katie Anne Michalski, MA, BSL
• Cliff Chweya Michoma Jr.
• Jean C. Hall Miller, P.T.
• Jessica Marie Miller, MA, LPC
• Rachel A Miller, PT,MSPT,WCS,CFMT
• Allison Elizabeth Millett
• Jeffrey Million

• Pediatric Nurse Practitioner in Exton, PA
• Providers in Exton, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.