Bradley W. Smith, D.O., Pllc in Pueblo - Family Medicine

Bradley W. Smith, D.O., Pllc - NPI 1780704924

Bradley W. Smith, D.O., Pllc is a Family Medicine in Pueblo, Colorado. Bradley W. Smith, D.O., Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bradley W. Smith, D.O., Pllc is 1780704924. The last update date is 2008-10-31.

Bradley W. Smith, D.O., Pllc's current location address is 1600 N Grand Ave, Pueblo, Colorado. You can contact this provider via phone number 7195466300 and fax number 7195466111. The mailing address for Bradley W. Smith, D.O., Pllc is 1600 N Grand Ave, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bradley W. Smith, D.O., Pllc
Address 1600 N Grand Ave, Pueblo, Colorado
Phone Number 7195466300
Fax Number 7195466111
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Smith Wayne Bradley
Credentials D.O.
Telephone Number 7195466300

NPI Number Detail

NPI Number 1780704924
Provider Enumeration Date 2007-03-30
Last Updated Date 2008-10-31

Provider Mailing Address Detail

Address 1600 N Grand Ave
City Pueblo
State Colorado (CO)
Post Code 810032700
Phone Number 7195466300
Fax Number 7195466111

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 42143
Definition:
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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21159335 CO --
P00392252 CO RAILROAD MEDICARE

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FAQs about Bradley W. Smith, D.O., Pllc

What is the unique identifier code issued to Bradley W. Smith, D.O., Pllc by the Centers for Medicare & Medicaid Services?

The Bradley W. Smith, D.O., Pllc has been assigned the NPI (National Provider Identifier) 1780704924. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Bradley W. Smith, D.O., Pllc?

The Bradley W. Smith, D.O., Pllc is situated at 1600 N Grand Ave, in the city of Pueblo, state of CO, with the zip code 810032700.

What is Bradley W. Smith, D.O., Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bradley W. Smith, D.O., Pllc is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date was the 1780704924 assigned to Bradley W. Smith, D.O., Pllc?

The Bradley W. Smith, D.O., Pllc was issued its 1780704924 on 2007-03-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Bradley W. Smith, D.O., Pllc's information last updated?

The Bradley W. Smith, D.O., Pllc's information was last updated on 2008-10-31.

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