MR. BRENT TIMOTHY SMITH


Address: 151 Ribault Street Suite 200, Spartanburg, SC 29302
Phone: 8642377674

MR. BRENT TIMOTHY SMITH (NPI# 1396291167) 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) 1396291167
Entity Type Individual
Full Name MR. BRENT TIMOTHY SMITH
Credential ATC
Practice Address 151 Ribault Street Suite 200
Spartanburg
SC 29302
Practice Telephone 8642377674
Mailing Telephone 8642377674
Enumeration Date 2016-08-31
Last Update Date 2016-08-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist NATABOC #1207020 SC Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NONE DOES NOT APPLY TO AT 01

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1558475012 Brent Roderick Smith Psychologist 6692 Spring Arbor Rd, Jackson, MI 49201 2006-08-19
1376186064 Brent Smith Registered Nurse 562 Wyoming Ave, Kingston, PA 18704-3721 2019-10-24
1760977672 Brent Robert Smith Dentist 140 Mahaley Ave, Salisbury, NC 28144-2449 2018-06-25
1235635053 Brent Jerald Smith Jr. Student in an Organized Health Care Education/Training Program 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160-8500 2018-04-02
1396147310 Brent Warren Smith Psychologist 1935 Medical District Dr, Mailstop El180.03, Dallas, TX 75235-7701 2014-09-22

Office Location

Street Address 151 RIBAULT STREET SUITE 200
City SPARTANBURG
State SC
Zip Code 29302

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083226476 Healthstat Inc Grace Management Preventive Medicine 951 South Pin Street, Suite 200, Spartanburg, SC 29302 2020-08-18
1467978304 Katherine Tomes Speech-Language Pathologist 355 Cedar Springs Road, Spartanburg, SC 29302 2017-08-22
1376995159 Natalie Nicole Kellett Nurse Practitioner 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 2016-07-06
1902273808 Tamieka Latrell Alston-gibson Nurse Practitioner 101 North Pine Street, Suite 210, Spartanburg, SC 29302 2015-08-26
1700209905 Robert W Wyatt Pharmacist 203 Cedar Springs Rd, Spartanburg, SC 29302 2014-01-24
1952735748 James Sidney Fulmer Sr. Obstetrics & Gynecology 167 Ivy Court, Spartanburg, SC 29302 2013-08-28
1053651828 Jennifer Geddes Hall Counselor 101 N Pine St Ste 210, Spartanburg, SC 29302 2013-02-15
1487875514 Park Place Spartanburg Assisted Living Facility 2720 Country Clud Road, Spartanburg, SC 29302 2007-05-02
1740304401 Leon Derek Herring Dentist 270 Cedar Spring Rd, Spartanburg, SC 29302 2007-03-19
1306973672 Julian Williams Internal Medicine 319 N Pine St, Spartanburg, SC 29302 2007-02-27
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891942801 Scale Down Specialist 1455 E Main St Ste 107, Spartanburg, SC 29307-2243 2008-08-20
1124283437 Allergic Disease and Asthma Center Specialist 3020 Reidville Rd, Spartanburg, SC 29301-5641 2008-07-25
1558541094 Arthritis Care & Therapy Center Specialist 391 Serpentine Dr Ste 240, Spartanburg, SC 29303-3079 2007-11-13
1629258827 Saad Upstate Neurology, P.a. Specialist 100 Willow Ln, Suite A, Spartanburg, SC 29307-1365 2007-11-06
1730388109 Ashley Fowler Specialist 250 North Grove Medical Park, Spartanburg, SC 29303-3098 2007-07-16
1376508499 Bang N Giep Specialist 853 N Church St Ste 600, Spartanburg, SC 29303-3070 2006-04-20
1164487377 Magdy A. Habib Specialist 1702 Skylyn Dr, Spartanburg, SC 29307-1040 2006-04-19
1104886001 William W Kerfoot Specialist 391 Serpentine Dr., Suite 500, Spartanburg, SC 29303-3083 2006-03-24
1093781122 Spartanburg Neurological Center, Pa Specialist 1690 Skylyn Drive, Suite 140, Spartanburg, SC 29307 2006-02-28
1902871890 Thomas Albert Collings Jr. Specialist 324a N Pine St, Spartanburg, SC 29302-1631 2006-02-22
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Competitor

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City SPARTANBURG
Zip Code 29302

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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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