Bradley David Smith, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G79816 Issued in CA

Practice address

2528 Sister Mary Columbia Drive
Red Bluff, CA 96080-4327

Phone

(530) 528-6100

Fax

(530) 528-6146

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wallowa County Health Care District

  • Critical Access Hospital Clinic/Center
  • Enterprise, OR
  • NPI 1447256250
  Medicare reassignment NPD
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1295338333
  NPD
• Stanislaus Orthopaedic and Sports Medicine Clinic

  • Specialist
  • Modesto, CA
  • NPI 1669505160
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1235164138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DRIVE",
            "address_2": "PHYSICIAN SUPPORT SERVICES",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-379-2948",
            "fax_number": "916-858-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 SISTER MARY COLUMBIA DRIVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804327",
            "telephone_number": "530-528-6100",
            "fax_number": "530-528-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AK",
            "license": "4723",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G79816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD6033",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert Matthew Simpson
• Jordan Sinclair, DPT
• Sheila Sloan, PHARMD
• Ann R Slotkin, AMFT
• Amber Smith
• Brandy Corrinne Smith
• Melissa Louise Smith, PPS
• Sara Marie Smith, PPS
• Elizabeth Juana Solis, CMT, NMT
• Kuihee Song

• Orthopaedic Surgery Physician in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.