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

Brendan Alexander Miccio, DO

Individual provider Emergency Medicine Physician · NPI 1841920071

Brendan Alexander Miccio, DO is an Emergency Medicine in Augusta, Georgia. Graduated from Lake Erie Col of Osteopathic Medicine, Bradenton in 2022, 4 years ago. Licensed in Georgia.

Years since qualifying
4
Trained at
Lake Erie Col of Osteopathic Medicine, Bradenton
Licensed in
GA
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-4951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 13813 (GA)

Record details

NPI number1841920071
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 11, 2022
Last updated in NPPESJune 11, 2022
Certification dateJune 11, 2022
Mailing address3315 Oakridge Dr, Augusta, GA 30909-2437

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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