Active NPI
Bryan Adam Miller, B.A., S.S.T.
- Social Worker
- Belleville, MI
National Provider Identifier
1568713402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L2279768
- Practice address
- 11022 Oak LN
Apt 9304
Belleville, MI 48111-4361 - Phone
- (517) 937-7508
- NPI assigned
- Oct 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L2279768 | MI | Primary |
Addresses
Primary practice location
11022 Oak LN
Apt 9304
Belleville, MI 48111-4361
Mailing address
11022 Oak LN
Apt 9304
Belleville, MI 48111-4361
Phone (517) 937-7508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2279768 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1568713402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11022 OAK LN",
"address_2": "APT 9304",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481114361",
"telephone_number": "517-937-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11022 OAK LN",
"address_2": "APT 9304",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481114361",
"telephone_number": "517-937-7508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRYAN",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"credential": "B.A., S.S.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "L2279768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.