BRANDON WALTER MILLER (PA-C) – Physician Assistant, NPI 1083369201

BRANDON WALTER MILLER (PA-C) is a healthcare provider. based in Carlsbad, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 65213 (CA). The NPI Number for BRANDON WALTER MILLER (PA-C) is 1083369201

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON WALTER MILLER (PA-C)
NPI
1083369201
Phone
(760) 683-0467
Address
6185 Paseo Del Norte Ste 140
Enumeration Date
16 February 2022
Last Update Date
22 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9512006791
Graduation Year
2021 (5 years ago)
PAC ID
0749704351
Group Practice PAC ID
2961305651
Professional Enrollment ID
I20250404001006
Address ID
CA925629015MU40663RDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

10,686 PHYSICIAN ASSISTANT in CA

Provider Addresses for BRANDON WALTER MILLER (PA-C)

  • 6185 Paseo Del Norte Ste 140

    Carlsbad, CA 920111152

    Phone: (760) 683-0467

    Type: Location

  • 5643 Copley Dr Ste 220

    San Diego, CA 921117903

    Phone: (858) 392-8381

    Type: Location

  • 590 KAYMAR DR

    BUFFALO, NY 142283459

    Phone: (716) 868-9014

    Type: Mailing

  • 434057 DEL VALLE AVE

    CAMP PENDLETON, CA 92055

    Phone: (716) 868-9014

    Type: Location

  • 2835 E PRADO CT APT 315

    CARLSBAD, CA 920106583

    Phone: (716) 868-9014

    Type: Mailing

  • 28078 BAXTER RD STE 530

    MURRIETA, CA 925631405

    Phone: (951) 566-5229

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250404001006IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961305651View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CT
Gastroenterology, Internal MedicineCA
Cardiovascular Disease (Cardiology)MO
General Practice, Preventive MedicineCA
G A S T R O E N T E R O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
Qualified AudiologistCA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA

Reviews

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Frequently asked questions

How do I look up BRANDON WALTER MILLER (PA-C) by NPI?
Use NPI 1083369201 when you need to reference BRANDON WALTER MILLER (PA-C) in forms, claims, or directories.
Does this profile mean BRANDON WALTER MILLER (PA-C) is currently active?
Yes — BRANDON WALTER MILLER (PA-C) appears active in the national provider directory.
What does BRANDON WALTER MILLER (PA-C) treat or focus on?
Patients typically see BRANDON WALTER MILLER (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is BRANDON WALTER MILLER (PA-C)'s primary listing?
We display Carlsbad, California because that is what the record indicates for BRANDON WALTER MILLER (PA-C).
What if Carlsbad, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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