Bridges W. Smith, P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

11716 Issued in TN

Legal business name

BRIDGES W. SMITH, P.C.

Practice address

1241 Volunteer Pkwy
Ste 436
Bristol, TN 37620-4659

Phone

(423) 990-2315

Fax

(423) 990-2316

NPI assigned

Feb 12, 2014

Last updated

Feb 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bridges Wade Smith III, M.S., LSPENPI 1649694860

Title

Senior Psychological Examiner

Phone

(423) 990-2315

Specialties & licenses 2

Addresses

Other names 1

• Bristol Evaluation Services Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bridges Wade Smith III, MS, LSPE

  • Health Service Psychologist
  • Bristol, TN
  • NPI 1649694860
  NPD (past) Authorized official

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1164846135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 VOLUNTEER PKWY",
            "address_2": "STE 436",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204659",
            "telephone_number": "423-990-2315",
            "fax_number": "423-990-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 VOLUNTEER PKWY",
            "address_2": "STE 436",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204659",
            "telephone_number": "423-990-2315",
            "fax_number": "423-990-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES W. SMITH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIDGES",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "SENIOR PSYCHOLOGICAL EXAMINER",
        "authorized_official_telephone_number": "423-990-2315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.S., LSPE"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "11716",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TN",
            "license": "11716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Evaluation Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jim Carroll Brasfield, M.D.
• Samuel Lucas Brashears, MD
• Breast Prostheses & Orthotics Inc
• David Albert Brenner, MD
• Jonathan Thomas Brewster, PHARMD
• Robert Randolph Brinson, M.D.
• Bristol Ambulatory Surgery Center, LLC
• Bristol Chiropractic and Wellness Center, PC
• Bristol Chiropractic PC (Messimer Chiropractic)
• Bristol Computer Services, Inc. (Medical Billing & Administrative Services, Inc.)

• Adult Mental Health Clinic/Center in Bristol, TN
• Providers in Bristol, TN by specialty
• Adult Mental Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.