Active NPI
Bruce L Miller
- Anesthesiology Physician
- Marlton, NJ
National Provider Identifier
1649278664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA42162
- Practice address
- 102 Centre Blvd
Marlton, NJ 08053-4129 - Phone
- (856) 988-6260
- Fax
- (856) 988-6270
- NPI assigned
- Jul 13, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA42162 | NJ | Primary |
Addresses
Primary practice location
102 Centre Blvd
Marlton, NJ 08053-4129
Mailing address
102 Centre Blvd
Marlton, NJ 08053-4129
Phone (856) 988-6260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3851206 | Medicaid | NJ |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA42162 | NJ | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649278664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CENTRE BLVD",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534129",
"telephone_number": "856-988-6260",
"fax_number": "856-988-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CENTRE BLVD",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534129",
"telephone_number": "856-988-6260",
"fax_number": "856-988-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRUCE",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA42162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3851206",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.