DR. C BRYAN MILLER (NPI# 1396742508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396742508 |
| Entity Type | Individual |
| Full Name | DR. C BRYAN MILLER |
| Credential | M.D. |
| Practice Address |
433 Plaza St Bogalusa LA 70427-3729 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 9857306700 |
| Practice Fax Number | 9857306713 |
| Mailing Telephone | 2255260001 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12706R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | NPI SMH PHYSICIAN NETWORK | 1801020433 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Gause Blvd Ste 100, Slidell, LA 704582949 | 9852808970 | 9852802618 |
| 1001 Florida Ave, Slidell, LA 704582923 | 9852807337 | 9852807340 |
| 140 E I 10 Service Rd, Slidell, LA 70461 | 9852809909 | 9856462335 |
| 1001 Florida Ave, Slidell, LA 704582923 | 9852809909 | 9856462335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881748390 | C Bradley Miller | Dentist | 1506 Chapel Hill Rd, Columbia, MO 65203-5504 | 2007-01-22 |
| Street Address |
433 PLAZA ST |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366080483 | Ashley Shuck | Dietitian, Registered | 433 Plaza St, Bogalusa, LA 70427-3729 | 2019-12-19 |
| 1275170847 | Jessica Oalmann Manchester | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2019-12-03 |
| 1508321944 | Tiffani Lyn Traina | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2019-02-08 |
| 1912401795 | Noelle Marie Bordelon Plaisance | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2018-03-19 |
| 1538511043 | Washington Parish Emergency Physicians Group LLC | Emergency Medicine | 433 Plaza St, Bogalusa, LA 70427-3729 | 2016-07-08 |
| 1093171597 | Margaret Hoppenstedt | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2016-01-13 |
| 1538555792 | Krupa Gandhi | Family Medicine | 433 Plaza St, Bogalusa, LA 70427 | 2015-04-14 |
| 1912334533 | Our Lady of The Angels Hospital, Inc. | Physician Assistant | 433 Plaza St, Bogalusa, LA 70427-3729 | 2013-09-27 |
| 1093140600 | Our Lady of The Angels Hospital, Inc. | General Acute Care Hospital | 433 Plaza St, Bogalusa, LA 70427-3729 | 2013-09-13 |
| 1184970220 | Mallika Doss | Ophthalmology | 433 Plaza St, Bogalusa, LA 70427-3729 | 2012-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336672823 | Cori Runfalo Sumrall | Family Medicine | 1616 S Columbia St Ste C, Bogalusa, LA 70427-5881 | 2017-04-11 |
| 1265971147 | Dr. K's Family Medicine | Family Medicine | 2781 S Columbia St, Suite A, Bogalusa, LA 70427-7962 | 2017-02-13 |
| 1760794895 | Vanessa Cortes De Jorge | Family Medicine | 2807 S Columbia St, Bogalusa, LA 70427-7915 | 2010-07-06 |
| 1851347710 | Vernon K Palmisano | Family Medicine | 420 Avenue F, Bogalusa, LA 70427-3634 | 2006-05-25 |
| 1396742318 | Victor Gaston Theriault | Family Medicine | 712 Willis Ave, Bogalusa, LA 70427-3004 | 2005-07-05 |
| 1598269920 | Terry Anthony Moran Jr. | Family Medicine | 420 Avenue F, Bogalusa, LA 70427-3634 | 2018-03-20 |
| 1043751365 | Jeremy Curtis Dornier | Family Medicine | 1416 Gobbler Head Dr, Bogalusa, LA 70427-6091 | 2017-03-20 |
| 1205296340 | Our Lady of The Angels Clinic | Family Medicine | 1416 Gobbler Head Dr, Bogalusa, LA 70427-6091 | 2016-03-02 |
| 1477940856 | Luther Sintim | Family Medicine | 420 Avenue F, Bogalusa, LA 70427-3634 | 2015-04-23 |
| 1538555792 | Krupa Gandhi | Family Medicine | 433 Plaza St, Bogalusa, LA 70427 | 2015-04-14 |
| Find all providers in BOGALUSA | ||||
Please comment or provide details below to improve the information on DR. C BRYAN MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.