BRADLEY W SMITH


Address: 44 Briargate Ter, Pueblo, CO 81001-1743
Phone: 7195466300

BRADLEY W SMITH (NPI# 1336191915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336191915
Entity Type Individual
Full Name BRADLEY W SMITH
Credential D.O.
Practice Address 44 Briargate Ter
Pueblo
CO 81001-1743
Practice Telephone 7195466300
Practice Fax Number 7195466111
Mailing Telephone 7195466300
Mailing Fax Number 7195466111
Enumeration Date 2006-05-16
Last Update Date 2020-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 42143 CO Allopathic & Osteopathic Physicians
N 207QS1201X Family Medicine
Specialization: Sleep Medicine
42143 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 9000146529 05

Other Providers BRADLEY SMITH

NPI Name Taxonomy Address Enumeration
1851952790 Bradley Colin Smith Dentist 1900 14th St Ste C, Plano, TX 75074-6426 2019-06-21
1164904017 Bradley Levi Smith Counselor 303 Hermitage Rd, Pineville, LA 71360-2623 2018-09-06
1013495308 Bradley Gene Smith Speech-Language Pathologist 3410 Worth St Ste 760, Dallas, TX 75246-2005 2018-07-30
1821449000 Bradley Smith Counselor 8420 Fordham Rd, Apt 2, Los Angeles, CA 90045-2581 2016-06-28
1669837662 Bradley R Smith Specialist/Technologist Berea College Cpo 2187, Berea, KY 40404-0001 2015-12-18
1497034995 Bradley Michael Smith Rehabilitation Counselor 6209 Trail Lake Dr, Fort Worth, TX 76133-3405 2011-08-15
1164725610 Bradley Dean Smith Orthotist 813 Carman Ave Unit A, Westbury, NY 11590-6447 2010-12-06
1306162151 Bradley Howard Smith Preventive Medicine 340 Hulsa Rd, Naval Aerospace Medical Institute, Pensacola, FL 32508-1092 2010-04-19
1639387863 Bradley M. Smith Dentist 401 Harding Way W, Galion, OH 44833-1611 2007-05-20
1902928047 Bradley J Smith Family Medicine 400 Enterprise Dr Fl 2, Limerick, PA 19468-1224 2007-04-06

Office Location

Street Address 44 BRIARGATE TER
City PUEBLO
State CO
Zip Code 81001-1743

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518191014 Shannon Baker Nurse Practitioner 44 Briargate Ter, Pueblo, CO 81001-1743 2009-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588222863 1111 Bonforte Opco LLC Respite Care 855 Hunter Dr., Pueblo, CO 81001 2019-06-03
1992276026 Andrew Benjamin Basham Counselor 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 2018-12-16
1316456981 Amy R Leibli Nurse Practitioner 1080 Chinook Lane, Pueblo, CO 81001 2017-09-26
1457781262 Ron Concialdi Dentist 2037 Jerry Murphy Rd., Pueblo, CO 81001 2013-11-14
1609146950 Natasha Liette Mondragon Registered Nurse 1302 E. 5th, Pueblo, CO 81001 2012-01-04
1023303575 Malinda Lee Davis Registered Nurse 1302 E 5th, Pueblo, CO 81001 2011-06-13
1679876429 Michael Edward Leyba Substance Abuse Rehabilitation Facility 4 Montebello Rd., Pueblo, CO 81001 2010-12-17
1609008796 Laura Ann Mcmahon Nurse Practitioner 4020 Jerry Murphy Rd/, Pueblo, CO 81001 2009-08-21
1730380882 Corrine Stella Tafoya Counselor 44 Calhoun Rd, Pueblo, CO 81001 2007-05-29
1518171008 George Henry Beck Dentist 1700 N Salem Ave, Suite A, Pueblo, CO 81001 2007-05-10
Find all providers in zip 81001

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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 is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356992606 Kristie Lamotta Family Medicine 1600 N Grand Ave Ste 350, Pueblo, CO 81003-2729 2019-09-26
1558898569 Alexandra R B King Family Medicine Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 2017-05-22
1134484660 Aparna Seetharama Family Medicine 1600 N. Grand Ave, Ste 260, Pueblo, CO 81003-2729 2012-07-11
1710275037 Catholic Health Initiatives Colorado Family Medicine 916 Indiana Ave., Suite 120, Pueblo, CO 81004 2011-07-20
1124336169 Timothy J Cawlfield, Md, Pllc Family Medicine 41 Montebello Rd Ste 210, Pueblo, CO 81001-1379 2010-09-23
1639308828 Emma Iovane Stout Family Medicine 115 E. Riverwalk, Suite 200, Pueblo, CO 81003-2246 2009-07-08
1750510145 Wendy Alejandra Girard Family Medicine 1925 East Orman Avenue, Suite A109, Pueblo, CO 81004 2009-07-07
1881839694 Bryan A Hynes Family Medicine 415 N Grand Ave, Pueblo, CO 81003-3111 2008-12-08
1093988917 Louise Mcdade Family Medicine 8 Carlile Pl, Pueblo, CO 81004-1213 2008-04-11
1891914693 Prairie Medical Clinic Pllc Family Medicine 1726 S Prairie Ave, Pueblo, CO 81005-2253 2007-04-24
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81001

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Dataset Information

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.

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