Individual provider Active NPI

Brian Smith, BOCPO

  • Prosthetist
  • Salisbury, MD
National Provider Identifier
1255768172
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
C22040 Issued in DE
Practice address
209 Milford St
Suite C
Salisbury, MD 21804-7099
Phone
(443) 859-8754
Fax
(443) 859-8966
NPI assigned
Oct 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X C22040 DE
Prosthetist 224P00000X C22040 DE Primary

Addresses

Primary practice location

209 Milford St
Suite C
Salisbury, MD 21804-7099

Mailing address

209 Milford St
Suite C
Salisbury, MD 21804-7099
Phone (443) 859-8754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C22040DEMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
BCS Prosthetics and Orthotics LLC Prosthetist Current Accepting new patients

Locations

209 Milford St
Ste C
Salisbury, MD 21804
Phone (443) 859-8754

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.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1255768172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MILFORD ST",
            "address_2": "SUITE C",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047099",
            "telephone_number": "443-859-8754",
            "fax_number": "443-859-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MILFORD ST",
            "address_2": "SUITE C",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047099",
            "telephone_number": "443-859-8754",
            "fax_number": "443-859-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "credential": "BOCPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-09",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "DE",
            "license": "C22040",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "DE",
            "license": "C22040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.