Individual provider Active NPI

Brian S Smith, MD

  • Gastroenterology Physician
  • Winston Salem, NC
National Provider Identifier
1093862898
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2008-00238 Issued in NC
Practice address
1901 S Hawthorne Rd
Suite 310
Winston Salem, NC 27103
Phone
(336) 448-2427
Fax
(336) 765-2869
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2008-00238 NC Primary

Addresses

Primary practice location

1901 S Hawthorne Rd
Suite 310
Winston Salem, NC 27103

Mailing address

1830 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 448-2427

Other practice location 1

875 Bethesda Rd
Winston Salem, NC 27103-3026
Phone (336) 448-2427

Other practice location 2

1830 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 448-2427

Other practice location 3

7126 Village Medical Cir
Clemmons, NC 27012-8004
Phone (336) 448-2427

Other practice location 4

1901 S Hawthorne Rd Ste 308
Winston Salem, NC 27103-3914
Phone (336) 448-2427

Other practice location 5

167 Moore Rd
King, NC 27021-8770
Phone (336) 448-2427

Other practice location 6

402 W King St
King, NC 27021-9170
Phone (336) 448-2427

Other practice location 7

445 Pineview Dr Ste 200B
Kernersville, NC 27284-3818
Phone (336) 448-2427

Other identifiers 1

IdentifierTypeStateIssuer
5910788MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsmith105331@direct.novanthealth.org Health Information Exchange (HIE) GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000505 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 4880764539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1830 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 448-2427

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.25 of 100Reported as group
Quality
87.75
Promoting interoperability
100
Improvement activities
40
Cost
79.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008-00238NCMDGastroenterology Physician

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Novant Health Forsyth Medical CenterWinston Salem, NC, CCN 340014 Hospital Corporate Officer May 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1093862898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034014",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD",
            "address_2": "SUITE 310",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Bethesda Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033026",
            "country_code": "US",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 S Hawthorne Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271034014",
            "country_code": "US",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7126 Village Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128004",
            "country_code": "US",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Hawthorne Rd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033914",
            "country_code": "US",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 Moore Rd",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "NC",
            "postal_code": "270218770",
            "country_code": "US",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 W King St",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "NC",
            "postal_code": "270219170",
            "country_code": "US",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Pineview Dr Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272843818",
            "country_code": "US",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2008-00238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910788",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsmith105331@direct.novanthealth.org",
            "affiliation": "Y",
            "endpointDescription": "Direct Message Address",
            "affiliationName": "GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 S Hawthorne Rd",
            "address_2": "Suite 310",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.