Individual provider Active NPI

Brian Edward Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Homer, AK
National Provider Identifier
1356313985
Registry record updated Sep 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NURA433 Issued in AK
Practice address
4300 Bartlett St
Homer, AK 99603-7005
Phone
(907) 235-0260
Fax
(907) 235-0289
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NURA433 AK Primary

Addresses

Primary practice location

4300 Bartlett St
Homer, AK 99603-7005

Mailing address

4300 Bartlett St
Homer, AK 99603-7005
Phone (907) 235-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220107002332 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466554167 Reassigns benefits to 1 organization
I20240124000388 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466554167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians

Practice addresses (Care Compare)

1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263

Hospital & facility affiliations

  • Southwest Health Center Hospital, Platteville, WI, CCN 521354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
NURA433AKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc. CurrentSince Dec 10, 2023 Accepting new patients
Southwest Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients
Medical Associates Clinic P C CurrentSince Jan 1, 2024 Accepting new patients
Southwest Health Center, Inc. CurrentSince Dec 10, 2023 Accepting new patients

Locations

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

Interoperability endpoints

  • Direct secure messaging: bmiller441470@direct.peacehealth.org
  • Direct secure messaging: bmiller480867@direct-ehr-ssmhc.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472860800000",
    "number": "1356313985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037005",
            "telephone_number": "907-235-0260",
            "fax_number": "907-235-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037005",
            "telephone_number": "907-235-0260",
            "fax_number": "907-235-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2016-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "NURA433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.