Individual provider Active NPI

James Bradbury Smith, MD

  • Surgery Physician
  • Lamar, CO
National Provider Identifier
1295727840
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
38321 Issued in CO
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
K9658OtherCOMEDICARE UNSPECIFIED
93787588MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070410000342 CO Practitioner - General Surgery 8921103540

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
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

LicenseStateTypeSpecialty
38321COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Plains Physician Practices LLC CurrentSince Jun 21, 2021 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.

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

Sources for this page

Verify at the official NPI Registry.