BRADFORD J SMITH (NPI# 1144271602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144271602 |
| Entity Type | Individual |
| Full Name | BRADFORD J SMITH |
| Credential | M.D. |
| Practice Address |
6516 E Myrtle Ave Baker LA 70714-4348 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2257747320 |
| Practice Fax Number | 2257745432 |
| Mailing Telephone | 2255260006 |
| Mailing Fax Number | 2257659291 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 13053R | LA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 13053R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 15555843 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992711840 | Bradford D Smith | Optometrist | 15 Western Ave, Suite 1, Augusta, ME 04330-7340 | 2006-07-31 |
| 1275552523 | Bradford Peiars Smith | Dentist | 1710 36th St, Bldg B, Vero Beach, FL 32960-4851 | 2006-07-18 |
| 1477522555 | Bradford Marshall Smith | Psychologist | 15 Muzzey St, Lexington, MA 02421-5257 | 2006-03-14 |
| 1457767691 | Bradford Smith | Anesthesiology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2014-07-09 |
| 1285992982 | Bradford Smith | Skilled Nursing Facility | 650 Reed Canal Rd, South Daytona, FL 32119-3230 | 2012-05-01 |
| 1922209998 | Bradford Smith | Nurse Practitioner | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2007-05-29 |
| 1497869580 | Bradford Douglass Smith | Anesthesiology | 8th Avenue and C Street, Lds Hospital, Salt Lake City, UT 84143 | 2006-08-18 |
| 1346353893 | Bradford Alfred Smith | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-08-17 |
| 1447285325 | Bradford Smith | Emergency Medicine | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2006-07-11 |
| 1811924830 | Bradford Davison Smith Jr. | Otolaryngology | 100 E Lancaster Ave, 650 Lankenau Medical Building East, Wynnewood, PA 19096-3450 | 2006-06-26 |
| Street Address |
6516 E MYRTLE AVE |
| City | BAKER |
| State | LA |
| Zip Code | 70714-4348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977824 | Catherine Ann Pourciau | Nurse Practitioner | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2005-07-29 |
| 1558603563 | Kristin Lynch Grimes | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2013-03-18 |
| 1942580048 | Ballard Jackson Mann | Physician Assistant | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2011-08-19 |
| 1104844455 | Brad C Giarrusso | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-07-17 |
| 1073563565 | Stephen W Speeg | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-12 |
| 1386694560 | Alice Catherine Powell | Physician Assistant | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-11 |
| 1972553196 | Kent M Rhodes | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-10 |
| 1750331997 | T'lane M Folse | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406574 | Chasity Davis | Counselor | 12753 Plank Rd Apt 32, Baker, LA 70714 | 2017-09-13 |
| 1417486895 | Cicella Lorine Benton | Counselor | 3327 Grant St, Baker, LA 70714 | 2017-06-08 |
| 1447782594 | I Know I Can Speech-language Therapy Services | Early Intervention Provider Agency | 7206 Juno Drive, Baker, LA 70714 | 2017-03-29 |
| 1265880488 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3622 Groom Road, Baker, LA 70714 | 2016-05-27 |
| 1013363241 | Micon Gaines | Counselor | 4206 N. Morvant Pl., Baker, LA 70714 | 2016-05-06 |
| 1932564549 | Clifton Hunt | Case Manager/Care Coordinator | 3276 Jackson St, Baker, LA 70714 | 2015-12-24 |
| 1992174833 | A Loving Heart Medical Transportation,llc | Non-emergency Medical Transport (VAN) | 5401 Rue Nicole, Baker, LA 70714 | 2015-09-22 |
| 1174927685 | Unique Healthcare Options | Clinic/Center | 1877 Heck Young Rd, Baker, LA 70714 | 2014-10-13 |
| 1972934263 | Freds Stores of Tennessee Inc | Pharmacy | 312 Main Street Hwy 19, Baker, LA 70714 | 2013-12-11 |
| 1245665157 | Cope Behavior Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 4425 Groom Road, Suite B, Baker, LA 70714 | 2013-09-10 |
| Find all providers in zip 70714 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134522212 | Premier Wellness Associates, LLC | Internal Medicine | 4444 Groom Rd, Baker, LA 70714-3045 | 2014-10-02 |
| 1205106820 | Ernest Gene Thompson Jr Md Apmc | Internal Medicine | 12902 Plank Rd, Baker, LA 70714-4911 | 2012-01-12 |
| 1639562515 | Dorothy A Ewen | Internal Medicine | 12880 Plank Rd, Baker, LA 70714-4909 | 2015-03-16 |
| 1558603563 | Kristin Lynch Grimes | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2013-03-18 |
| 1760626170 | Mark C Mouton Md LLC | Internal Medicine | 12880 Plank Rd, Baker, LA 70714-4909 | 2009-04-29 |
| 1164613758 | Mark Christian Mouton | Internal Medicine | 12880 Plank Rd, Baker, LA 70714-4909 | 2007-08-07 |
| 1104844455 | Brad C Giarrusso | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-07-17 |
| 1073563565 | Stephen W Speeg | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-12 |
| 1972553196 | Kent M Rhodes | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-10 |
| 1750331997 | T'lane M Folse | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-10 |
| Find all providers in BAKER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.