Active NPI
Bryan D. Miller, D.O.
- Family Medicine Physician
- Hillsboro, OR
National Provider Identifier
1194726810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18724
- Practice address
- 434 S 1St Ave
Suite 300
Hillsboro, OR 97123-3982 - Phone
- (503) 648-8210
- Fax
- (503) 648-8283
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18724 | OR | Primary |
| General Practice Physician | 208D00000X | 18724 | OR | |
| Aerospace Medicine Physician | 2083A0100X | 18724 | OR | |
| Occupational Medicine Physician | 2083X0100X | 18724 | OR |
Addresses
Primary practice location
434 S 1St Ave
Suite 300
Hillsboro, OR 97123-3982
Mailing address
434 S 1St Ave
Suite 300
Hillsboro, OR 97123-3982
Phone (503) 648-8210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129999 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18724 | OR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1194726810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 S 1ST AVE",
"address_2": "SUITE 300",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971233982",
"telephone_number": "503-648-8210",
"fax_number": "503-648-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 S 1ST AVE",
"address_2": "SUITE 300",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971233982",
"telephone_number": "503-648-8210",
"fax_number": "503-648-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRYAN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "18724",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OR",
"license": "18724",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "OR",
"license": "18724",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OR",
"license": "18724",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129999",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.