Bryan D Smedley, HEALTH SERVICE TECH

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

15 Mohegan Ave
Medical Clinic
New London, CT 06320-8100

Phone

(860) 444-8402

Fax

(860) 444-8412

NPI assigned

Sep 28, 2006

Last updated

Jun 22, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1346332616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CRYSTAL AVE UNIT 14",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206541",
            "telephone_number": "425-249-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOHEGAN AVE",
            "address_2": "MEDICAL CLINIC",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063208100",
            "telephone_number": "860-444-8402",
            "fax_number": "860-444-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEDLEY",
        "first_name": "BRYAN",
        "middle_name": "D",
        "credential": "HEALTH SERVICE TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Sitko, MD
• Sarah M Skinner, DPT
• Alexander Gaunt Slater, MD
• Shannon F.R. Small, MD
• Kenneth Wilson Smead III, M.D.
• Smiles of Hartford LLC
• Ashley Smith, PHARMD
• Christopher Jason Smith, MSPT
• Lynda B Smith, PHD
• Stephen Robert Smith, M.D.

• Other Technician in New London, CT
• Providers in New London, CT by specialty
• Other Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.