Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alan Miller

Individual provider Physician Assistant · NPI 1467093823

Alan Miller is a Physician Assistant in Providence, Rhode Island. Qualified in 2019, 7 years ago. Practices with Gotham Spine and Brain Surgery PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

79 11th St
Providence, RI 02906-2911
Phone: (401) 751-8119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024462 (NY)

Record details

NPI number1467093823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address79 11th St, Providence, RI 02906-2911

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Gotham Spine And Brain Surgery Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence