Organization Active NPI

Bradley W. Smith, D.O., PLLC

Doing business as Dream Sleep Center

  • Sleep Medicine (Family Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1467291518
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
BRADLEY W. SMITH, D.O., PLLC
Doing business as
Dream Sleep Center
Practice address
1710 Jet Stream Dr Ste 215
Colorado Springs, CO 80921-3937
Phone
(719) 546-6300
Fax
(719) 546-6111
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BRADLEY W SMITH D.O., PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. Bradley W Smith, DONPI 1336191915
Title
Medical Director
Phone
(719) 252-3578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X NU Primary

Addresses

Primary practice location

1710 Jet Stream Dr Ste 215
Colorado Springs, CO 80921-3937

Mailing address

44 Briargate Ter
Pueblo, CO 81001-1743
Phone (719) 252-3578

Other identifiers 1

IdentifierTypeStateIssuer
21159335MedicaidCO

Other names 1

  • Dream Sleep Center Doing business as

National Provider Directory

National Provider Directory
Part of
Bradley W Smith DO PLLC

Locations

1710 Jet Stream Dr
Ste 215
Colorado Springs, CO 80921
Phone (720) 828-3937

44 Briargate Ter
Pueblo, CO 81001
Phone (719) 214-1150

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1467291518",
    "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": "719-252-3578",
            "fax_number": "719-546-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 JET STREAM DR STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213937",
            "telephone_number": "719-546-6300",
            "fax_number": "719-546-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY W. SMITH, D.O., PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRADLEY W SMITH D.O., PLLC",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-252-3578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21159335",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.