Brad D Smith, DO, PA
Organization Active NPI Surgery Physician · Idaho Falls, ID
NPI 1336246701 · NPPES record last updated Aug 12, 2010
Key facts
- NPI
- 1336246701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- O-0374 (ID)
- Legal business name
- BRAD D SMITH, DO, PA
- Practice address
- 2805 Valencia Drive
Idaho Falls, ID 83404 - Phone
- (208) 542-2787
- Fax
- (208) 252-6151
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Brad D Smith, D.O.
- Title
- President
- Phone
- (208) 542-2787
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | O-0374 | ID | Yes |
Addresses
Primary practice location
2805 Valencia Drive
Idaho Falls, ID 83404
Mailing address
3622 Stonebrook LN
Idaho Falls, ID 83404-7903
Phone (208) 542-2787
Other providers in Idaho Falls, ID
- Boyle Family Dental
- Erin Boyle
- Heidi Maxine Boyle
- Nate Boyle
- Korri Jo Braase
- Brad Jamison Chiropractic, P.L.L.C.
- Andrew Ryan Bradbury
- Braden Partners LP
- Nathan Eric Bradfield
- Bradford L Talcott MD PHD PC
All providers in Idaho Falls, ID · Surgery Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.