Herman Bradley Smith, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

21590 Issued in AZ

Practice address

4971 E Lafayette Blvd
Phoenix, AZ 85018-4429

Phone

(602) 999-8744

Fax

(602) 840-1782

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1326010240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15064",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605064",
            "telephone_number": "602-999-8744",
            "fax_number": "602-840-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 E LAFAYETTE BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184429",
            "telephone_number": "602-999-8744",
            "fax_number": "602-840-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HERMAN",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "21590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Ryan Smith, MSOT, OTR/L
• Gregory T Smith, D.D.S.
• Gwenneth P. Smith, P.T.
• Gwyndolen Smith, LPN
• Harriet J Smith, PHD
• Jack Steven Smith, DC
• Jade Smith, OTD, OTR/L
• Jala Latrice Nicole Smith
• Jamie Meredith Smith
• Janet Smith, MNS, CCC-SLP

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.