Brian Wayne Miller

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

16691 Issued in CA

Legal business name

BRIAN WAYNE MILLER

Doing business as

Scooterville Medical Supply

Practice address

303 Industrial Way
Ste 2
Fallbrook, CA 92028-2358

Phone

(951) 756-8558

NPI assigned

Aug 2, 2009

Last updated

Aug 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Wayne Miller, B.A. CHEMISTRY

Title

Owner

Phone

(951) 756-8558

Specialties & licenses 1

Addresses

Other names 1

• Scooterville Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1972734457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 INDUSTRIAL WAY",
            "address_2": "STE 2",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282358",
            "telephone_number": "951-756-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 INDUSTRIAL WAY",
            "address_2": "STE 2",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282358",
            "telephone_number": "951-756-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN WAYNE MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-02",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-756-8558",
        "authorized_official_credential": "B.A. CHEMISTRY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "16691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scooterville Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susana Bowen, RNFA
• Andrea Bower, M.D.
• Bramhall Dental Corp
• Ryan Eugene Bramhall, DDS
• Talitha Jannelle Brewer, DOULA
• David Bridgeman, M.D.
• Christopher Francis Briffa
• Bryce a Morton M D Inc (Fallbrook Hospital Anesthesia)
• Brandon Bulger, RBT
• Jasmine Burke

• Durable Medical Equipment & Medical Supplies in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.