Organization Active NPI

Bret H Miller MD PA Orthopaedic and Sports Medicine Specialists of Wac

  • Specialist
  • Waco, TX
National Provider Identifier
1407861073
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H2608 Issued in TX
Legal business name
BRET H MILLER MD PA ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS OF WAC
Practice address
300 Richland West Cir
Suite 1
Waco, TX 76712-7934
Phone
(254) 772-8677
Fax
(254) 752-1511
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Andrew B Szanto
Title
Medical Practice Administrator
Phone
(254) 772-8677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H2608 TX Primary

Addresses

Primary practice location

300 Richland West Cir
Suite 1
Waco, TX 76712-7934

Mailing address

PO Box 21506
Waco, TX 76702-1506
Phone (254) 772-8677

Other identifiers 2

IdentifierTypeStateIssuer
0062EMOtherTXBLUE CROSS BLUE SHIELD
0812653-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

300 Richland West Cir
Ste 1
Waco, TX 76712
Phone (254) 772-8677

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1407861073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21506",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767021506",
            "telephone_number": "254-772-8677",
            "fax_number": "254-752-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RICHLAND WEST CIR",
            "address_2": "SUITE 1",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127934",
            "telephone_number": "254-772-8677",
            "fax_number": "254-752-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET H MILLER MD PA ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS OF WAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SZANTO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "254-772-8677"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H2608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0062EM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0812653-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.