Individual provider Active NPI

Bryan Lee Miller

  • Social Worker
  • Jasper, AL
National Provider Identifier
1609693423
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6285G Issued in AL
Practice address
200 18TH St W
Jasper, AL 35501-5363
Phone
(205) 582-4345
Fax
(205) 582-4345
NPI assigned
Sep 23, 2024
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6285G AL Primary

Addresses

Primary practice location

200 18TH St W
Jasper, AL 35501-5363

Mailing address

1906 Delaware Ave
Jasper, AL 35501-5450
Phone (205) 282-9176

Other practice location 1

1906 Delaware Ave
Jasper, AL 35501-5450
Phone (205) 282-9176

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

State licenses

LicenseStateTypeSpecialty
6285GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartt Inc CurrentSince Sep 29, 2024 Accepting new patients

Locations

200 18th St W
Jasper, AL 35501
Phone (205) 582-4345

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1609693423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 DELAWARE AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015450",
            "telephone_number": "205-282-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 18TH ST W",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015363",
            "telephone_number": "205-582-4345",
            "fax_number": "205-582-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355015450",
            "country_code": "US",
            "telephone_number": "205-282-9176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRYAN",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "6285G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.