Bradley Howard Smith, M.D.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

A65057 Issued in CA

Practice address

340 Hulsa Rd
Naval Aerospace Medical Institute
Pensacola, FL 32508-1092

Phone

(850) 452-4657

Fax

(850) 452-2679

NPI assigned

Apr 19, 2010

Last updated

Apr 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1306162151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HULSA RD",
            "address_2": "NAVAL AEROSPACE MEDICAL INSTITUTE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325081092",
            "telephone_number": "850-452-4657",
            "fax_number": "850-452-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HULSA RD",
            "address_2": "NAVAL AEROSPACE MEDICAL INSTITUTE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325081092",
            "telephone_number": "850-452-4657",
            "fax_number": "850-452-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CA",
            "license": "A65057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allessa Allison Smith, M.D.
• Amanda Ursula Smith, LCSW
• Amber Smith
• Angela Elaine Smith, PNP
• Ashlynn Smith, LCSW
• Brian Jeffrey Smith, A.T.,C
• Brooke Smith, RBT
• Carissa A Smith, LCSW
• Cayden Smith
• Chad Smith, CRNA

• Aerospace Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Aerospace Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.