Individual provider Active NPI

Kyle Bradley Smith

  • Certified Registered Nurse Anesthetist
  • Madison, WI
National Provider Identifier
1508339391
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
140013 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-1932
Phone
(608) 263-8100
NPI assigned
Jan 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-140013 AL
Certified Registered Nurse Anesthetist 367500000X 140013 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-1932

Mailing address

4120 Old Leeds LN
Mountain BRK, AL 35213-3228

Other practice location 1

1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 934-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WI, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190415002876 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810238110 Reassigns benefits to 2 organizations
I20250903001371 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810238110 Reassigns benefits to 1 organization
I20250915004092 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810238110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

80 Gilmer St SE
Atlanta, GA 30303-3017
Phone (404) 616-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
140013WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Alabama Anesthesiology, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 24, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jun 28, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jun 28, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 24, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Mar 1, 2019 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105

100 Pilot Medical Dr
Ste 300
Birmingham, AL 35235
Phone (205) 856-2284

619 19th St S
Birmingham, AL 35249

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

4602 Eastpark Blvd
Madison, WI 53718
Phone (608) 263-7540

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: kbsmith@direct.uabmedicine.org

Organizations & group practices 6

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 3

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1508339391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 OLD LEEDS LN",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537921932",
            "telephone_number": "608-263-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-934-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-140013",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "140013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.