Active NPI
Bruce L Smith Jr., M.D.
- Orthopaedic Surgery Physician
- Hot Springs, AR
National Provider Identifier
1508830795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C4861
- Practice address
- 1 Mercy LN
Suite 404
Hot Springs, AR 71913-6442 - Phone
- (501) 321-1026
- Fax
- (501) 623-1021
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C4861 | AR | Primary |
Addresses
Primary practice location
1 Mercy LN
Suite 404
Hot Springs, AR 71913-6442
Mailing address
1 Mercy LN
Suite 404
Hot Springs, AR 71913-6442
Phone (501) 321-1026
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104926001 | Medicaid | AR | |
| 54927 | Other | AR | BLUE CROSS BLUE SHIELD |
| 4152730001 | Other | AR | CIGNA GOVERNMENT SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4861 | AR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hot Springs Bone & Joint Clinic PA | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Hot Springs, AR
- NPI 1144284852
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1508830795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERCY LN",
"address_2": "SUITE 404",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136442",
"telephone_number": "501-321-1026",
"fax_number": "501-623-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCY LN",
"address_2": "SUITE 404",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136442",
"telephone_number": "501-321-1026",
"fax_number": "501-623-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRUCE",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AR",
"license": "C4861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104926001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "54927",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVERNMENT SERVICES",
"identifier": "4152730001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.