Active NPI
Brian K Miller, D.O.
- Family Medicine Physician
- Marion, VA
National Provider Identifier
1255566196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4931
- Practice address
- 245 Medical Park Dr
First Floor
Marion, VA 24354-1100 - Phone
- (276) 378-1341
- Fax
- (276) 378-1345
- NPI assigned
- May 21, 2009
- Last updated
- Aug 5, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4931 | OK | Primary |
Addresses
Primary practice location
245 Medical Park Dr
First Floor
Marion, VA 24354-1100
Mailing address
245 Medical Park Dr
First Floor
Marion, VA 24354-1100
Phone (423) 302-6882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255566196 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4931 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
dba Ballad Health Medical Associates
- Hospitalist Physician
- Abingdon, VA
- NPI 1104171826
-
dba Ballad Health Medical Associates
- Hospitalist Physician
- Marion, VA
- NPI 1639463490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1255566196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 MEDICAL PARK DR",
"address_2": "FIRST FLOOR",
"city": "MARION",
"state": "VA",
"postal_code": "243541100",
"telephone_number": "423-302-6882",
"fax_number": "423-952-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 MEDICAL PARK DR",
"address_2": "FIRST FLOOR",
"city": "MARION",
"state": "VA",
"postal_code": "243541100",
"telephone_number": "276-378-1341",
"fax_number": "276-378-1345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRIAN",
"middle_name": "K",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255566196",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, VA
- Anna Meadows
- Med-Trip Express LLC
- Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - Marion, N Main St)
- Mel Leaman Free Clinic at Emory & Henry College, Inc.
- Michelle L Melton, PSY.D
- Kendra Miller, CPNP-PC
- Monahans Dialysis LLC (Royal Oaks Dialysis)
- Andrew P Mone, MD
- Emily Moore
- Jackie Stanley Morris, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.