NPIMap

Individual provider Active NPI

Dwayne C Miller, M.D.

  • Family Medicine Physician
  • Comanche, TX
National Provider Identifier
1316957574
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0638 Issued in TX
Practice address
10201 Highway 16
Comanche, TX 76442-4462
Phone
(254) 879-4910
Fax
(254) 879-4990
NPI assigned
Aug 9, 2006
Last updated
Sep 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0638 TX Primary

Addresses

Primary practice location

10201 Highway 16
Comanche, TX 76442-4462

Mailing address

6610 Hwy 2318
Comanche, TX 76442-6622
Phone (254) 879-4910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000553 TX Practitioner - Family Practice 2365489390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10201 Hwy 16
Comanche, TX 76442-4462
Phone (254) 879-4900

2410 Crockett Dr
Suite B
Brownwood, TX 76801-5981
Phone 25487949004451

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Diabetic Relief LLC CurrentSince Oct 1, 2023 Accepting new patients
Comanche County Medical Center Company CurrentSince Jun 30, 2011 Accepting new patients
Comanche County Medical Center Company CurrentSince Jun 30, 2011 Accepting new patients
Texas Outpatient & Infusion Center Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Texas Outpatient & Infusion Center Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Comanche County Consolidated Hospital District Past Accepting new patients
Comanche County Medical Center Company Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Comanche County Medical Center Company Past Accepting new patients

Locations

2410 Crockett Dr
Ste B
Brownwood, TX 76801
Phone 25487949004451

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

208 N Highway 377
Roanoke, TX 76262
Phone (214) 929-7827

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
De Leon Nursing and RehabilitationDe Leon, TX, CCN 675319 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1316957574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 HWY 2318",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764426622",
            "telephone_number": "254-879-4910",
            "fax_number": "254-879-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HIGHWAY 16",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764424462",
            "telephone_number": "254-879-4910",
            "fax_number": "254-879-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DWAYNE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comanche, TX

Sources for this page

Verify at the official NPI Registry.