NPIMap

Individual provider Active NPI

Steven Bradbury Smith, MD

  • Internal Medicine Physician
  • Woodstock, VT
National Provider Identifier
1265457253
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042-0007558 Issued in VT
Practice address
32 Pleasant Street
Woodstock, VT 05091
Phone
(802) 457-3030
Fax
(802) 457-2157
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042-0007558 VT Primary

Addresses

Primary practice location

32 Pleasant Street
Woodstock, VT 05091

Mailing address

1412 VT Route 12
Woodstock, VT 05091-8172
Phone (802) 457-4809

Other identifiers 1

IdentifierTypeStateIssuer
0009064MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address StevenBSmith@mahhc.cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000521 VT Practitioner - Internal Medicine 4385696749 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windsor Hospital CorporationGroup PAC ID 2860387214, shared by 6 NPIs, 56 clinicians

Practice addresses (Care Compare)

289 County Rd
Windsor, VT 05089-9000

Hospital & facility affiliations

  • Vna and Hospice of Vermont and New Hampshire Home health agency, White River Junction, VT, CCN 477002
  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Bayada Hospice Hospice, Rutland, VT, CCN 471510
  • Mt Ascutney Hospital Hospital, Windsor, VT, CCN 471302
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Alice Peck Day Memorial Hospital Hospital, Lebanon, NH, CCN 301305
  • Gifford Medical Center Hospital, Randolph, VT, CCN 471301
  • Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0007558VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Hospital Corporation CurrentSince Jan 1, 2007 Accepting new patients
Windsor Hospital Corporation Current Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2007 Accepting new patients

Locations

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Interoperability endpoints

  • Direct secure messaging: stevenbsmith@mahhc.cernerdirect.com
  • Direct secure messaging: ssmith16558@direct.dartmouth-hitchcock.org

Organizations & group practices 4

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1265457253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 VT ROUTE 12",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050918172",
            "telephone_number": "802-457-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PLEASANT STREET",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "05091",
            "telephone_number": "802-457-3030",
            "fax_number": "802-457-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "middle_name": "BRADBURY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0007558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009064",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "StevenBSmith@mahhc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "32 Pleasant Street",
            "city": "Woodstock",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, VT

Sources for this page

Verify at the official NPI Registry.