Active NPI
Brendan James Smyth, PHD/ MD
- Internal Medicine Physician
- Pennington, NJ
National Provider Identifier
1528465820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.114418
- Practice address
- 311 Pennington Rocky Hill Rd
Pennington, NJ 08534-2130 - Phone
- (609) 818-4824
- NPI assigned
- Dec 2, 2014
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.114418 | IL | Primary |
Addresses
Primary practice location
311 Pennington Rocky Hill Rd
Pennington, NJ 08534-2130
Mailing address
4025 Flora PL
Saint Louis, MO 63110-3603
Phone (610) 209-8740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.114418 | Other | IL | IL STATE MEDICAL LICENSE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.114418 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1528465820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 FLORA PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631103603",
"telephone_number": "610-209-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 PENNINGTON ROCKY HILL RD",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342130",
"telephone_number": "609-818-4824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYTH",
"first_name": "BRENDAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHD/ MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-02",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.114418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE MEDICAL LICENSE",
"identifier": "036.114418",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.