Individual provider Active NPI

Bennett Brent Smith, PA-C

  • Physician Assistant
  • Huntsville, AL
National Provider Identifier
1366968398
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1277 Issued in AL
Practice address
825 Adams St SE
Huntsville, AL 35801-3709
Phone
(256) 536-9020
Fax
(256) 536-9053
NPI assigned
Aug 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1277 AL Primary

Addresses

Primary practice location

825 Adams St SE
Huntsville, AL 35801-3709

Mailing address

PO Box 18428
Huntsville, AL 35804-8428
Phone (256) 705-4224

Other practice location 1

9238 Madison Blvd Ste 114
Madison, AL 35758-9112
Phone (256) 536-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011000604 AL Practitioner - Physician Assistant 3577838937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama Urology, PCGroup PAC ID 4183640642, 7 clinicians

Practice addresses (Care Compare)

825 Adams St SE
Huntsville, AL 35801-3709
Phone (256) 536-9020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.9 of 100Reported as group
Quality
90
Improvement activities
40
Cost
69.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1856ALMDProfessional Counselor
1277ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Surgery Center, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1366968398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18428",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048428",
            "telephone_number": "256-705-4224",
            "fax_number": "256-705-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 ADAMS ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013709",
            "telephone_number": "256-536-9020",
            "fax_number": "256-536-9053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9238 Madison Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589112",
            "country_code": "US",
            "telephone_number": "256-536-9020",
            "fax_number": "256-536-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BENNETT",
        "middle_name": "BRENT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.