Bradley W Smith, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42143 Issued in CO

Practice address

44 Briargate Ter
Pueblo, CO 81001-1743

Phone

(719) 546-6300

Fax

(719) 546-6111

NPI assigned

May 16, 2006

Last updated

May 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Sleep Medicine

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley W. Smith, D.O., PLLCGroup PAC ID 1658477583, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Bradley W. Smith, D.O., PLLC

  • Sleep Medicine (Family Medicine) Physician
  • Pueblo, CO
  • NPI 1780704924
  Medicare reassignment Care Compare group NPD Authorized official
• Bradley W. Smith, D.O., PLLC

  dba Dream Sleep Center

  • Sleep Medicine (Family Medicine) Physician
  • Colorado Springs, CO
  • NPI 1467291518
  NPD Authorized official
• Stanton County Hospital

  • Critical Access Hospital
  • Johnson, KS
  • NPI 1871695973
  NPD
• Inpatient Consultants of Colorado, PC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1538461256

  Family Medicine

  NPD (past)
• Central Kansas Medical Center

  dba St Joseph Family Medicine/Great Bend

  • Family Medicine Physician
  • Great Bend, KS
  • NPI 1467402040
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1336191915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BRIARGATE TER",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011743",
            "telephone_number": "719-546-6300",
            "fax_number": "719-546-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BRIARGATE TER",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011743",
            "telephone_number": "719-546-6300",
            "fax_number": "719-546-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Jet Stream Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809213937",
            "country_code": "US",
            "telephone_number": "719-546-6300",
            "fax_number": "719-546-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "42143",
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CO",
            "license": "42143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000146529",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Two, Prof. LLC (Comfort Dental Braces)
• Smiles in the Rockies LLC
• Scott L Smiley, MD
• Wendi Smith Stitt Palomar
• A Theodore Smith, PA-C, L.AC.
• Brady Tucker Smith, DDS
• Catherine Smith, PA
• Christen Smith, RN
• Christine Marie Smith, COTA
• Christopher John Smith, LPTA

• Family Medicine Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.

Verify at the official NPI Registry.