DR. DANIEL BRUCE SMITH (NPI# 1861453870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861453870 |
| Entity Type | Individual |
| Full Name | DR. DANIEL BRUCE SMITH |
| Credential | M.D., PHD |
| Practice Address |
22224 Lorene Road Gulfport MS 39503 |
| Mailing Address |
22224 Lorene Rd Gulfport MS 39503 |
| Practice Telephone | 2283776431 |
| Practice Fax Number | 2283779420 |
| Mailing Telephone | 2283776431 |
| Mailing Fax Number | 2283779420 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 12886 | MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146478 | Daniel J Smith | Counselor | 52 Park Ave, Park Ridge, NJ 07656-1277 | 2020-02-14 |
| 1790101616 | Daniel Smith | Nurse Practitioner | 11100 Se Petrovitsky Rd Apt C206, Renton, WA 98055-5645 | 2014-03-17 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1104259837 | Daniel Lloyd Smith | Counselor | 11648 Gravois Rd Ste 245, Saint Louis, MO 63126-3034 | 2013-08-16 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1952655334 | Daniel Cass Smith | Community Health Worker | 4806 N Perkins Rd, Stillwater, OK 74075-1710 | 2012-11-06 |
| 1689926677 | Daniel V Smith | Psychologist | 2600 Center Street Ne (office Go5-216), Oregon State Hospital, Forensic Evaluation Service, Salem, OR 97301-2669 | 2012-10-15 |
| 1124379094 | Daniel Jared Smith | Chiropractor | 1836 Roswell St Se Apt 1305, Smyrna, GA 30080-2244 | 2012-10-01 |
| 1134498330 | Daniel Timothy Smith | Student in an Organized Health Care Education/Training Program | 1500 S 48th St Ste 506, Lincoln, NE 68506-1279 | 2011-12-19 |
| 1033411228 | Daniel Earl Smith | Student in an Organized Health Care Education/Training Program | 2547 Ne 47th Ave, Portland, OR 97213-1917 | 2010-11-22 |
| Street Address |
22224 LORENE ROAD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629382957 | Fred Eugene Kasper | Military Health Care Provider | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853689 | John Levasseur | Military Health Care Provider | 301 Fisher St Rm 1g123, Keesler Afb, MS 39534-2508 | 2018-06-05 |
| 1396250031 | Lilly Pad Home Health, LLC | Military Health Care Provider | 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978 | 2017-12-04 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1881945566 | Robert Ray Ellis | Military Health Care Provider | 10194 Cottage Ct, Diberville, MS 39540-4744 | 2012-09-21 |
| 1457566374 | James Wesley Clements | Military Health Care Provider | 664 S State St, Jackson, MS 39201-5611 | 2007-05-14 |
| 1215049283 | Angela Victoria Thrahser | Military Health Care Provider | 111 G St, Arnold Annex, Bldg 5901, Biloxi, MS 39534-2410 | 2006-08-31 |
| 1093349094 | Victor Dang Hoang | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-02-27 |
| 1700438710 | Jacob Travis Burlew | Military Health Care Provider | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-07-10 |
| 1568936532 | James Barbosa | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2019-01-14 |
| 1811482730 | Gregory Buford Jr. | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
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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.