NPIMap

Individual provider Active NPI

Brian Alan Smoley, MD, MPH, FAAFP

  • Family Medicine Physician
  • Port Orchard, WA
National Provider Identifier
1285605451
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61112177 Issued in WA
Practice address
450 S Kitsap Blvd Ste 210
Port Orchard, WA 98366-3738
Phone
(360) 874-5900
Fax
(360) 874-5959
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40476-020 WI
Family Medicine Physician 207Q00000X MD61112177 WA Primary

Addresses

Primary practice location

450 S Kitsap Blvd Ste 210
Port Orchard, WA 98366-3738

Mailing address

450 S Kitsap Blvd Ste 210
Port Orchard, WA 98366-3738
Phone (360) 874-5900

Other identifiers 1

IdentifierTypeStateIssuer
2175430MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsmoley685214@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20110105000537 WA Practitioner - Family Practice 9032308143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

450 S Kitsap Blvd
Suite 210
Port Orchard, WA 98366-3738
Phone (360) 874-5900

Hospital & facility affiliations

  • CHI Franciscan Health at Home Home health agency, University Place, WA, CCN 507124
  • Signature Healthcare at Home Home health agency, Federal Way, WA, CCN 507110
  • Centerwell Home Health Home health agency, Silverdale, WA, CCN 507106
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40476-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince May 31, 2021 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients

Locations

450 S Kitsap Blvd
Ste 210
Port Orchard, WA 98366
Phone (360) 874-5900

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: bsmoley685214@fhsce.catholichealth.net

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1285605451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S KITSAP BLVD STE 210",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663738",
            "telephone_number": "360-874-5900",
            "fax_number": "360-874-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S KITSAP BLVD STE 210",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663738",
            "telephone_number": "360-874-5900",
            "fax_number": "360-874-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLEY",
        "first_name": "BRIAN",
        "middle_name": "ALAN",
        "credential": "MD, MPH, FAAFP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40476-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61112177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2175430",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsmoley685214@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 S Kitsap Blvd Ste 210",
            "city": "Port Orchard",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983663738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.