Individual provider Active NPI

Bradley James Miller

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1740807197
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA13952 Issued in TX
Practice address
1139 E Sonterra Blvd Ste 401
San Antonio, TX 78258-4987
Phone
(210) 874-3359
Fax
(210) 874-3369
NPI assigned
Jul 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13952 TX
Surgical Physician Assistant 363AS0400X PA13952 TX Primary

Addresses

Primary practice location

1139 E Sonterra Blvd Ste 401
San Antonio, TX 78258-4987

Mailing address

1139 E Sonterra Blvd Ste 401
San Antonio, TX 78258-4987
Phone (210) 874-3359

Other practice location 1

146 Agency Oaks
San Antonio, TX 78249-1538
Phone (210) 788-8945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201209001331 TX Practitioner - Physician Assistant 6103238548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians

Practice addresses (Care Compare)

115 Angeles Dr
Suite 103
San Antonio, TX 78201-4302
Phone (210) 664-0962

1347 E Court St
Seguin, TX 78155-5130
Phone (830) 443-9778

13909 Nacogdoches Rd
Suite 111
San Antonio, TX 78217-1296
Phone (210) 655-0100

160 Creekside Way
Suite 602
New Braunfels, TX 78130-6439
Phone (830) 387-5330

17122 Bulverde Rd
Suite 104
San Antonio, TX 78247-3211
Phone (210) 783-0170

20210 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-7029
Phone (210) 481-9804

20780 US Hwy 281 N
Carenow
San Antonio, TX 78258-7501
Phone (210) 963-8455

2951 Thousand Oaks Dr
San Antonio, TX 78247-5202
Phone (210) 494-2324

4130 S New Braunfels Ave
Suite 112
San Antonio, TX 78223-1722
Phone (210) 290-9537

513 Cibolo Valley Dr
Suite 101
Cibolo, TX 78108-3676
Phone (210) 714-5600

5410 Broadway
San Antonio, TX 78209-5716
Phone (210) 998-6677

902 Kitty Hawk Rd
Suite 110
Universal City, TX 78148-3827
Phone (210) 659-0889

9234 N Loop 1604
Suite 110
San Antonio, TX 78249-2981
Phone (210) 257-0736

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as group
Quality
71.92
Promoting interoperability
99
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13952TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mark M. Casillas, M.D., P.a. PastSince Feb 12, 2023 Accepting new patients
Mercy Wellness Clinic Alamo Ranch PLLC Family Medicine PastSince Nov 8, 2025 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1740807197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 401",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584987",
            "telephone_number": "210-874-3359",
            "fax_number": "210-874-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 401",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584987",
            "telephone_number": "210-874-3359",
            "fax_number": "210-874-3369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Agency Oaks",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782491538",
            "country_code": "US",
            "telephone_number": "210-788-8945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13952",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA13952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.