Active NPI
Susan C Miller, MD
- Family Medicine Physician
- Brenham, TX
National Provider Identifier
1992819106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J7283
- Practice address
- 604 Highway 290 W
Brenham, TX 77833-5432 - Phone
- (979) 421-2000
- Fax
- (979) 421-9678
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J7283 | TX | Primary |
Addresses
Primary practice location
604 Highway 290 W
Brenham, TX 77833-5432
Mailing address
PO Box 844658
Dallas, TX 75284-4658
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 |
|---|---|---|---|
| J7283 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1992819106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 HIGHWAY 290 W",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778335432",
"telephone_number": "979-421-2000",
"fax_number": "979-421-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SUSAN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J7283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.