Bridgette L Smith (NPI# 1427045384, PAC ID# 2668464801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427045384 |
| PAC ID by PECOS | 2668464801 |
| Professional Enrollment ID | I20040330001546 |
| Full Name | Bridgette L Smith |
| Organization Legal Name | ST. CHARLES HEALTH COUNCIL INC |
| Address |
306 S Shady Ave Damascus VA 24236 |
| Phone Number | 2764755116 |
| Gender | F |
| Credential | NP |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244124584 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 20471 Azen Rd, Damascus, VA 24236-4141 | 2763883411 | ST. CHARLES HEALTH COUNCIL INC |
| 306 S Shady Ave, Damascus, VA 24236 | 2764755116 | ST. CHARLES HEALTH COUNCIL INC |
| Organization Legal Name | ST. CHARLES HEALTH COUNCIL INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Burner Barnett | Clinical Social Worker | St. Charles Health Council Inc | 20471 Azen Rd, Damascus, VA 24236-4141 |
| Joshua A Yeary | Family Medicine | St. Charles Health Council Inc | 1446 Dr Thomas Walker Rd, Ewing, VA 24248-8307 |
| Wayne A Vanzee | Internal Medicine | St. Charles Health Council Inc | 241 Monarch Rd, St Charles, VA 24282-0269 |
| Jill K Couch | Internal Medicine | St. Charles Health Council Inc | 276 Fieldstone Dr, Jonesville, VA 24263-1215 |
| Dia Owens | Family Medicine | St. Charles Health Council Inc | 162 Medical Ctr Blvd, Haysi, VA 24256-0653 |
| Thomas E Roatsey | Family Medicine | St. Charles Health Council Inc | 507 W Main St, Appalachia, VA 24216-1723 |
| Melissa N Keene | Internal Medicine | St. Charles Health Council Inc | 162 Medical Ctr Blvd, Haysi, VA 24256-0653 |
| Abdul Latief Almatari | Internal Medicine | St. Charles Health Council Inc | 507 W Main St, Appalachia, VA 24216-1723 |
| Crystal E Burke | Clinical Social Worker | St. Charles Health Council Inc | 507 W Main St, Appalachia, VA 24216-1723 |
| Paige M Cordial | Clinical Psychologist | St. Charles Health Council Inc | 306 S Shady Ave, Damascus, VA 24236 |
| Street Address |
306 S SHADY AVE |
| City | DAMASCUS |
| State | VA |
| Zip | 24236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paige M Cordial | Clinical Psychologist | St. Charles Health Council Inc | 306 S Shady Ave, Damascus, VA 24236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Burner Barnett | Clinical Social Worker | St. Charles Health Council Inc | 20471 Azen Rd, Damascus, VA 24236-4141 |
| City | DAMASCUS |
| Zip Code | 24236 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DAMASCUS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bridgette L Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.