Broc Smith

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C2464 Issued in WV

Practice address

20 Westwood Medical Park
Bluefield, VA 24605-2003

Phone

(276) 322-5439

NPI assigned

Jul 10, 2026

Sex

Male

Sole proprietor

Yes

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": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1487573945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 COUNTRY RD",
            "city": "CYCLONE",
            "state": "WV",
            "postal_code": "248279454",
            "telephone_number": "276-322-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WESTWOOD MEDICAL PARK",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052003",
            "telephone_number": "276-322-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BROC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanna Elizabeth Shelton
• Jordan A Sherman
• Misty M Short Cline, DDS
• Joshua Shroyer, ATC
• Brandy L Smith, LPC
• Paige Kerrigan Smith, OD
• Southwest Mobile Diagnostic
• Melissa Nickels Stacy, P.A.C.
• Robert Eugene Stallard II, PHARMD
• Susie Jennings Stauffer

• Occupational Therapy Assistant in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.