Lane R Miller MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

L1673 Issued in TX

Legal business name

LANE R MILLER MD PA

Practice address

1721 Birmingham Rd
College Station, TX 77845-4082

Phone

(979) 764-1474

Fax

(979) 764-9249

NPI assigned

Jul 8, 2006

Last updated

Jul 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lane R Miller, MDNPI 1316986631

Title

Owner

Phone

(979) 764-1474

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lane R Miller, M.D.

  • Specialist
  • College Station, TX
  • NPI 1316986631
  Medicare reassignment Care Compare group NPD Authorized official
• Courtney Campbell, ACNP

  • Acute Care Nurse Practitioner
  • College Station, TX
  • NPI 1336563675
  Medicare reassignment Care Compare group NPD
• Amanda Campbell Johnston, PA

  • Physician Assistant
  • College Station, TX
  • NPI 1841613817
  Medicare reassignment

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1588697163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-764-1474",
            "fax_number": "979-764-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454082",
            "telephone_number": "979-764-1474",
            "fax_number": "979-764-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE R MILLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-764-1474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L1673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "145759100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00234819",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0092PW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175488901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas I Laird, PA-C
• Christopher Lam, MD
• Bailey Lambert
• Gary Lambert, MD
• Mario A Lammoglia, M.D.
• Pamela J Lane, MED, LPC-S
• Kelsey Lang
• Dodd George Lange, FNP
• Jennifer Lange, PHARMD
• Kati Lynn Langston, PA-C

• Cardiovascular Disease Physician in College Station, TX
• Providers in College Station, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.