Active NPI
James Bradbury Smith, MD
- Surgery Physician
- Lamar, CO
National Provider Identifier
1295727840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 38321
- Practice address
- 301 Kendall Dr
Lamar, CO 81052-3943 - Phone
- (719) 336-7005
- Fax
- (719) 336-7026
- NPI assigned
- Aug 19, 2005
- Last updated
- Apr 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 38321 | CO | Primary |
Addresses
Primary practice location
301 Kendall Dr
Lamar, CO 81052-3943
Mailing address
401 Kendall Drive
Lamar, CO 81052-3943
Phone (719) 336-7005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K9658 | Other | CO | MEDICARE UNSPECIFIED |
| 93787588 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070410000342 | CO | Practitioner - General Surgery | 8921103540 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38321 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Plains Physician Practices LLC | Current | Accepting new patients |
Locations
1000 Lincoln St
Ste 208
Fort Morgan, CO 80701
Phone (970) 542-4371
220 E Beaver Ave
Fort Morgan, CO 80701
Phone (970) 458-5216
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Fort Morgan, CO
- NPI 1821042409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1295727840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 KENDALL DRIVE",
"city": "LAMAR",
"state": "CO",
"postal_code": "810523943",
"telephone_number": "719-336-7005",
"fax_number": "719-336-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 KENDALL DR",
"city": "LAMAR",
"state": "CO",
"postal_code": "810523943",
"telephone_number": "719-336-7005",
"fax_number": "719-336-7026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "BRADBURY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "38321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UNSPECIFIED",
"identifier": "K9658",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93787588",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lamar, CO
- Dionysius Semien
- Amber Settles, LCSW
- Meena Shelton, OTR/L
- Rachelle Simonsen, MOTR/L
- Heather Sisenstein-Warman
- Tara Smith
- Soul Purpose, LLC (Soul Purpose)
- Southeast Colorado Enterprise Development Inc
- Southeast Colorado for Drug-Free Communities, Inc. (Drug-Free Communities)
- Southeast Mental Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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; Order and Referring.
- 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.