Bradley Glenn Smith in Glens Falls - Physician Assistant
Bradley Glenn Smith - NPI 1427039635
Bradley Glenn Smith is a Physician Assistant in Glens Falls, New York. Bradley Glenn Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bradley Glenn Smith is 1427039635. The last update date is 2021-06-17.
Bradley Glenn Smith's current location address is 100 Park Street, Glens Falls, New York. You can contact this provider via phone number 5189265924 and fax number 5189266983. The mailing address for Bradley Glenn Smith is 100 Park Street, Glens Falls, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Glenn Smith |
|---|---|
| Address | 100 Park Street, Glens Falls, New York |
| Phone Number | 5189265924 |
| Fax Number | 5189266983 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1427039635 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2021-06-17 |
Provider Mailing Address Detail
| Address | 100 Park Street |
|---|---|
| City | Glens Falls |
| State | New York (NY) |
| Post Code | 128014413 |
| Phone Number | 5189265924 |
| Fax Number | 5189266983 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4333 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00180979 | NY | RR MEDICARE | |
| 1893645 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bradley Glenn Smith by the Centers for Medicare & Medicaid Services?
The Bradley Glenn Smith has been issued the NPI (National Provider Identifier) 1427039635, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bradley Glenn Smith's physical address?
The Bradley Glenn Smith is physically located at 100 Park Street, in the city of Glens Falls, NY, with the postal code 128014413.
What is the Bradley Glenn Smith's area of specialization and corresponding taxonomy classification?
The Bradley Glenn Smith's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Bradley Glenn Smith receive its 1427039635?
The Bradley Glenn Smith was issued its 1427039635 on 2005-11-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Bradley Glenn Smith most recently updated or revised?
The information pertaining to Bradley Glenn Smith, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-17.
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