Active NPI
Bjorn P Miller, M.D.
- Emergency Medicine Physician
- Mt Pleasant, SC
National Provider Identifier
1295779098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 27236
- Practice address
- 1101 Bowman Rd
Mt Pleasant, SC 29464-3213 - Phone
- (843) 552-4240
- Fax
- (843) 552-4121
- NPI assigned
- Jun 15, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 054814 | GA | |
| Emergency Medicine Physician | 207P00000X | 27236 | SC | Primary |
| Emergency Medicine Physician | 207P00000X | MD428046 | PA |
Addresses
Primary practice location
1101 Bowman Rd
Mt Pleasant, SC 29464-3213
Mailing address
PO Box 50520
Summerville, SC 29485-0520
Phone (843) 552-4240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0143073 | Medicaid | NJ | |
| 230988974 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054814 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pediatric Specialists LLC | Past | Accepting new patients | |
| Carolina Emergency Associates | Emergency Medicine | Past | Accepting new patients |
| Georgia Emergency Associates | Emergency Medicine | Past | Accepting new patients |
| Nason Medical Center V, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Summerville, SC
- NPI 1427306299
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
-
- Emergency Medicine Physician
- Savannah, GA
- NPI 1275563942
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1295779098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50520",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294850520",
"telephone_number": "843-552-4240",
"fax_number": "843-552-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 BOWMAN RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643213",
"telephone_number": "843-552-4240",
"fax_number": "843-552-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BJORN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "054814",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "27236",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD428046",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143073",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230988974",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.