DR. BRIAN W SMALLEY (NPI# 1528058328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528058328 |
| Entity Type | Individual |
| Full Name | DR. BRIAN W SMALLEY |
| Credential | D.O. |
| Practice Address |
301 Andrews Avenue Lyster Army Health Clinic Fort Rucker AL 36362 |
| Practice Telephone | 3342557387 |
| Mailing Telephone | 3342557387 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
02424 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107307 | James C. Dover | Optometrist | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2005-07-11 |
| 1598376469 | Wesley Hendrick Mccormick | Psychologist | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2020-08-13 |
| 1366936817 | Twanna Versel Johnson | Social Worker | 301 Andrews Avenue, Cavhcs (va Wiregrass Clinic), Fort Rucker, AL 36362 | 2018-06-19 |
| 1770096406 | Jose A Morejon | Emergency Medical Technician, Basic | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2017-11-16 |
| 1013446723 | Christopher Warren Fleming | Pharmacist | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2017-06-06 |
| 1497296701 | Cody Shedd | Emergency Medical Technician, Basic | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-03-20 |
| 1760924583 | James Darren Beasley | Physical Therapy Assistant | 301 Andrews Avenue, Fort Rucker, AL 36360 | 2016-11-10 |
| 1538616768 | Deseree Moe | Emergency Medical Technician, Basic | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2016-09-06 |
| 1093261232 | Kristin Henderson | Registered Nurse | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2016-08-28 |
| 1942652490 | Evie Ehret | Occupational Therapist | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463204 | Eric Wayne Olins | Preventive Medicine | Bldg 110, 6th Avenue, Us Army Aeromedical Activity, Fort Rucker, AL 36362 | 2005-11-02 |
| 1407845589 | Craig Brian Collier | Preventive Medicine | 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2005-10-20 |
| 1033421078 | Joseph John Pavelites I | Preventive Medicine | 301 Andrews Ave, Lyster Army Medical Center, Fort Rucker, AL 36362-5333 | 2010-07-07 |
| 1558396457 | John Stephen Crowley | Preventive Medicine | 301 Andrews Ave, Fort Rucker, AL 36362 | 2006-07-11 |
| 1720058951 | Justin Trevor Woodson | Preventive Medicine | 301 Andrews Ave, Fort Rucker, AL 36362 | 2006-01-23 |
| 1275517344 | Joseph Francis Mckeon | Preventive Medicine | 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2005-12-02 |
| 1770566671 | Ian Peter Curry | Preventive Medicine | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36363 | 2005-11-23 |
| 1467434829 | Dana Michelle Kosmala-runkle | Preventive Medicine | 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1386617280 | Lawrence G. Shory | Preventive Medicine | 5401 E Lake Blvd, 117mdg, Birmingham, AL 35217-3545 | 2006-02-10 |
| 1669453767 | John Campbell | Preventive Medicine | 805 E Lee St Ste C, Enterprise Clinic, LLC/dba Enterprise Express Care, Enterprise, AL 36330-2477 | 2005-11-07 |
| 1124011960 | Michael James Ainscough | Preventive Medicine | 1609 Ashwood Dr, Prattville, AL 36066-3628 | 2005-08-26 |
| 1538599071 | Walter Lawrence Md PC | Preventive Medicine | 551 Glover Ave, Enterprise, AL 36330-2041 | 2013-11-19 |
| 1750543146 | Jon Roger Gray | Preventive Medicine | 301 Andrews Ave, Ft Rucker, AL 36362 | 2008-06-27 |
| 1285896779 | Richard Charles Kipp | Preventive Medicine | 300 Twining St, Montgomery, AL 36112-6027 | 2008-06-26 |
| 1346418167 | David Jacob Simmons | Preventive Medicine | 300 Twining St Bldg 760, 42 Mdg/sgp, Maxwell Afb, AL 36112-6027 | 2008-02-14 |
| 1699755744 | Scott A Salmon | Preventive Medicine | 301 Andrews Avenue, Ft. Rucker, AL 36362-5333 | 2006-01-17 |
| 1336121862 | Rudy Hartono Taarea | Preventive Medicine | 511 Brantley St, Opp, AL 36467-1702 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT RUCKER |
| Zip Code | 36362 |
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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.