Bradley A Smith in Bemidji - Physician Assistant
Bradley A Smith - NPI 1366464927
Bradley A Smith is a Physician Assistant in Bemidji, Minnesota. Bradley A Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bradley A Smith is 1366464927. The last update date is 2023-03-27.
Bradley A Smith's current location address is 1233 34th St Nw, Bemidji, Minnesota. You can contact this provider via phone number 2183335000 and fax number 2187595279. The mailing address for Bradley A Smith is 1233 34th St Nw, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bradley A Smith |
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Address | 1233 34th St Nw, Bemidji, Minnesota |
Phone Number | 2183335000 |
Fax Number | 2187595279 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1366464927 |
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Provider Enumeration Date | 2006-07-24 |
Last Updated Date | 2023-03-27 |
Provider Mailing Address Detail
Address | 1233 34th St Nw |
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City | Bemidji |
State | Minnesota (MN) |
Post Code | 566015112 |
Phone Number | 2183335000 |
Fax Number | 2187595279 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 9736 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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49812200 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bradley A Smith by the Centers for Medicare & Medicaid Services?
The Bradley A Smith has been issued the NPI (National Provider Identifier) 1366464927. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bradley A Smith?
The Bradley A Smith is physically situated at 1233 34Th St Nw, in the city of Bemidji, state of MN, with the postal code 566015112.
What is Bradley A Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bradley A Smith is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366464927 to Bradley A Smith?
The Bradley A Smith received its 1366464927 assignment from the Centers for Medicare & Medicaid Services on 2006-07-24.
When was the information regarding Bradley A Smith most recently updated?
The details pertaining to the Bradley A Smith, including its address, specialty, and other relevant information, were last refreshed on 2023-03-27.