Active NPI
Allergy and Asthma Clinic of Central Texas, PA
- Allergy & Immunology Physician
- Round Rock, TX
National Provider Identifier
1831294800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- F4284
- Legal business name
- ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS, PA
- Practice address
- 2000 N Mays St Ste 109
Round Rock, TX 78664-2166 - Phone
- (254) 690-2800
- Fax
- (254) 690-5401
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Miller, D.O.
- Title
- Owner/President
- Phone
- (512) 388-1861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | F4284 | TX | Primary |
Addresses
Primary practice location
2000 N Mays St Ste 109
Round Rock, TX 78664-2166
Mailing address
PO Box 268945
Oklahoma City, OK 73126-8945
Phone (512) 388-1861
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1996407-01 | Medicaid | TX | |
| 1960571-01 | Medicaid | TX | |
| 1960577-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1508 Leander Rd
Georgetown, TX 78628
Phone (254) 690-2800
508 Leander Rd
Georgetown, TX 78626
Phone (512) 357-3500
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy Physician
- Georgetown, TX
- NPI 1790882108
-
- Allergy & Immunology Physician
- Round Rock, TX
- NPI 1245232487
-
- Physician Assistant
- Killeen, TX
- NPI 1134470388
-
- Medical Physician Assistant
- Killeen, TX
- NPI 1003849837
-
- Physician Assistant
- Round Rock, TX
- NPI 1215517669
-
- Psychiatry Physician
- Round Rock, TX
- NPI 1033166368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458172800000",
"number": "1831294800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268945",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268945",
"telephone_number": "512-388-1861",
"fax_number": "512-388-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N MAYS ST STE 109",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642166",
"telephone_number": "254-690-2800",
"fax_number": "254-690-5401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2016-03-17",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "512-388-1861",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "F4284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1996407-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1960571-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1960577-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.