BRODI SMITH (NPI# 1447690904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447690904 |
| Entity Type | Individual |
| Full Name | BRODI SMITH |
| Credential | DO |
| Practice Address |
2805 Valencia Dr Idaho Falls ID 83404 |
| Mailing Address |
2805 Valencia Dr Idaho Falls ID 83404-7597 |
| Practice Telephone | 2085358422 |
| Practice Fax Number | 2085256151 |
| Mailing Telephone | 2085358422 |
| Mailing Fax Number | 2085256151 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2018-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | O-1114 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
2805 VALENCIA DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376565473 | Eric G Baird | Surgery | 2805 Valencia Dr, Idaho Falls, ID 83404-7597 | 2006-07-25 |
| 1467053090 | C Scott Needham Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2805 Valencia Dr, Idaho Falls, ID 83404-7597 | 2020-11-02 |
| 1659863207 | Brodi Smith D O Pllc | Surgery | 2805 Valencia Dr, Idaho Falls, ID 83404-7597 | 2018-05-30 |
| 1366465197 | David J Chamberlain | Surgery | 2805 Valencia Dr, Idaho Falls, ID 83404-7597 | 2006-07-25 |
| 1144243767 | Brad D Smith | Surgery | 2805 Valencia Dr, Idaho Falls, ID 83404-7597 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790012383 | Brian E O'byrne, M.d. P.a. | Surgery | 2860 Channing Way Ste 117, Idaho Falls, ID 83404-7532 | 2009-11-03 |
| 1326240425 | Bruce James Watkins | Surgery | 2860 Channing Way Ste 114, Idaho Falls, ID 83404-7532 | 2007-06-01 |
| 1770680191 | Chamberlain General Surgery Pa | Surgery | 2805 Valencia Drive, Idaho Falls, ID 83404 | 2006-09-20 |
| 1376565473 | Eric G Baird | Surgery | 2805 Valencia Dr, Idaho Falls, ID 83404-7597 | 2006-07-25 |
| 1801896717 | Brian E O'byrne | Surgery | 2860 Channing Way, Ste 117, Idaho Falls, ID 83404-7532 | 2005-07-21 |
| 1902809221 | James L. Richards | Surgery | 2001 S Woodruff Ave, Ste 3, Idaho Falls, ID 83404-6371 | 2005-05-31 |
| 1659863207 | Brodi Smith D O Pllc | Surgery | 2805 Valencia Dr, Idaho Falls, ID 83404-7597 | 2018-05-30 |
| 1780123950 | Bmh, Inc. | Surgery | 3760 Washington Pkwy, Idaho Falls, ID 83404-7593 | 2017-02-21 |
| 1326427360 | Adam Meziani | Surgery | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2015-05-22 |
| 1578850210 | Nicholas Bradford Johnson | Surgery | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2011-07-01 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on BRODI SMITH.
| 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.