Active NPI
Gilbert D. Smith, MD, LLC
- Family Nurse Practitioner
- Poplar Bluff, MO
National Provider Identifier
1174699664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 118754
- Legal business name
- GILBERT D. SMITH, MD, LLC
- Practice address
- 2210 Barron Rd
Suite 219
Poplar Bluff, MO 63901-1908 - Phone
- (573) 686-2811
- Fax
- (573) 686-3441
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gilbert D Smith, M.D.
- Title
- Owner
- Phone
- (573) 686-2811
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R5B27 | MO | |
| Family Nurse Practitioner | 363LF0000X | 118754 | MO | Primary |
Addresses
Primary practice location
2210 Barron Rd
Suite 219
Poplar Bluff, MO 63901-1908
Mailing address
2210 Barron Rd
Suite 219
Poplar Bluff, MO 63901-1908
Phone (573) 686-2811
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1174699664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 BARRON RD",
"address_2": "SUITE 219",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011908",
"telephone_number": "573-686-2811",
"fax_number": "573-686-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 BARRON RD",
"address_2": "SUITE 219",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011908",
"telephone_number": "573-686-2811",
"fax_number": "573-686-3441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILBERT D. SMITH, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "GILBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-686-2811",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "R5B27",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "118754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.