Bryan Joseph Miller, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP8573 Issued in AZ

Practice address

17431 N 71St Dr
Suite 103
Glendale, AZ 85308

Phone

(480) 521-6586

Fax

(623) 242-7856

NPI assigned

Mar 17, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Gregory Carr MD LLCGroup PAC ID 3072828607, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: bryanmiller@destiny-springs-hc.direct.kno2fy.com
• Direct secure messaging: bmiller@destiny-springs-hc.direct.kno2fy.com

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.

• Dr. Gregory Carr MD LLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1386041861
  Medicare reassignment Care Compare group
• TBM Mental Health LLC

  • Mental Health Counselor
  • Glendale, AZ
  • NPI 1093167108
  Medicare reassignment
• Destiny Springs Healthcare, LLC

  • Psychiatric Hospital
  • Surprise, AZ
  • NPI 1467947101
  NPD (past)

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1336500339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17431 N 71ST DR",
            "address_2": "SUITE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088598",
            "telephone_number": "480-521-6586",
            "fax_number": "623-242-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17431 N 71ST DR",
            "address_2": "SUITE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "480-521-6586",
            "fax_number": "623-242-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Residential Home Inc.
• Allison Duckett Miller, MOTR/L
• Arthur N Miller, MD
• Ashley Munro Miller
• Breanne Miller, M.S. CF-SLP
• Caitlin Miller, OD
• Danielle L Miller, DC
• David Steven Miller, D.O.
• Denise Anne Miller
• Diana Miller

• Psychiatric/Mental Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.