Active NPI
Brent Dal Miller, CCC-A
- Audiologist
- Helena, MT
National Provider Identifier
1639270259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 996
- Practice address
- 2525 Broadway
Suite 105
Helena, MT 59601 - Phone
- (406) 457-4160
- Fax
- (406) 457-4179
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 996 | MT | Primary |
Addresses
Primary practice location
2525 Broadway
Suite 105
Helena, MT 59601
Mailing address
P.O. Box 6369
Helena, MT 59604
Phone (406) 447-2828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0534684 | Medicaid | MT | |
| 290448 | Other | MT | BCBS OF MT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 996 | MT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter's Health | Past | Accepting new patients | |
| St Peters Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Helena Ear Nose and Throat Clinic
- Otolaryngology Physician
- Helena, MT
- NPI 1487662334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1639270259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6369",
"city": "HELENA",
"state": "MT",
"postal_code": "59604",
"telephone_number": "406-447-2828",
"fax_number": "406-447-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 BROADWAY",
"address_2": "SUITE 105",
"city": "HELENA",
"state": "MT",
"postal_code": "59601",
"telephone_number": "406-457-4160",
"fax_number": "406-457-4179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRENT",
"middle_name": "DAL",
"name_prefix": "Mr.",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MT",
"license": "996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0534684",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MT",
"identifier": "290448",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.