NPIMap

Organization Active NPI

R. Brent Smith, M.D., Inc.

  • Family Medicine Physician
  • Lawton, OK
National Provider Identifier
1053561878
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14133 Issued in OK
Legal business name
R. BRENT SMITH, M.D., INC.
Practice address
4411 W Gore Blvd
Ste. B-5
Lawton, OK 73505-5977
Phone
(580) 357-0493
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard B. Smith, M.D.
Title
Owner/Physician
Phone
(580) 357-0493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 14133 OK Primary

Addresses

Primary practice location

4411 W Gore Blvd
Ste. B-5
Lawton, OK 73505-5977

Mailing address

4411 W Gore Blvd
Ste. B-5
Lawton, OK 73505-5977
Phone (580) 357-0493

National Provider Directory

National Provider Directory

Locations

4411 W Gore Blvd
Ste B5
Lawton, OK 73505
Phone (580) 357-0493

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1053561878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD",
            "address_2": "STE. B-5",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-357-0493",
            "fax_number": "580-248-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD",
            "address_2": "STE. B-5",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-357-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. BRENT SMITH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "580-357-0493",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.