Individual provider Active NPI

Benjamin Smith

  • Certified Registered Nurse Anesthetist
  • Irondale, AL
National Provider Identifier
1295113322
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-135255 Issued in AL
Practice address
3879 Maggies PL
Irondale, AL 35210-5509
Phone
(205) 269-4024
NPI assigned
May 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-135255 AL Primary

Addresses

Primary practice location

3879 Maggies PL
Irondale, AL 35210-5509

Mailing address

3879 Maggies PL
Irondale, AL 35210-5509
Phone (205) 269-4024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150811004015 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406161173 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Medical Center SouthGroup PAC ID 0648534495, 43 clinicians

Practice addresses (Care Compare)

2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of North-Central Alabama Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 17, 2018 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc Current Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 18, 2019 Accepting new patients
Marshall Medical Center South Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients
Fayette Medical Center-Crna Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
Epix Anesthesia of Alabama LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 17, 2018 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

Organizations & group practices 6

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1295113322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 MAGGIES PL",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352105509",
            "telephone_number": "205-269-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 MAGGIES PL",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352105509",
            "telephone_number": "205-269-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-135255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.