Individual provider Active NPI

Adam R Smith, M.D.

  • Family Medicine Physician
  • Allen, TX
National Provider Identifier
1306899521
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2478 Issued in TX
Practice address
865 Junction Drive
Allen, TX 75013-5006
Phone
(214) 547-8300
Fax
(214) 547-9787
NPI assigned
May 18, 2006
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2478 TX Primary

Addresses

Primary practice location

865 Junction Drive
Allen, TX 75013-5006

Mailing address

865 Junction Drive
Allen, TX 75013-5006
Phone (214) 547-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051121000676 TX Practitioner - Family Practice 4486673340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brookwood Family Practice PAGroup PAC ID 8123047073, 2 clinicians

Practice addresses (Care Compare)

865 Junction Dr
Allen, TX 75013-5006
Phone (244) 547-8300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2478TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwood Family Practice, P.a. Family Medicine CurrentSince Nov 1, 2005 Accepting new patients

Locations

865 Junction Dr
Allen, TX 75013
Phone (214) 547-8300

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.

Hospital & facility affiliations 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1306899521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 JUNCTION DRIVE",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135006",
            "telephone_number": "214-547-8300",
            "fax_number": "214-547-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 JUNCTION DRIVE",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135006",
            "telephone_number": "214-547-8300",
            "fax_number": "214-547-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.