Bradley A Smith is a Medical in Bemidji, Minnesota. Bradley A Smith practices all healthcare services and medical treatments related to Medical. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2023-03-27 |
Provider Mailing Address Detail
| Address | 1233 34th St Nw |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566015112 |
| Phone Number | 2183335000 |
| Fax Number | 2187595279 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 9736 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
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.