Active NPI
Bryan Matthew Smith, MD
- Orthopaedic Surgery Physician
- Clarksville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E-12426
- Practice address
- 1100 E Poplar St
Clarksville, AR 72830-4419 - Phone
- (479) 754-5393
- NPI assigned
- Jun 30, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 125.062786 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | A156007 | CA | |
| Physical Therapist | 225100000X | 3952 | OK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | E-12426 | AR | Primary |
Addresses
Primary practice location
1100 E Poplar St
Clarksville, AR 72830-4419
Mailing address
1100 E Poplar St
Clarksville, AR 72830-4419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Oklahoma College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnson Regional Medical Center
Practice addresses (Care Compare)
1 Medicine Dr
Clarksville, AR 72830-4431
Phone (479) 754-5405
1100 E Poplar St B
JRMC Anesthesia
Clarksville, AR 72830-4419
Phone (479) 754-5454
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6852 | AZ | MD | Family Medicine Physician |
| A156007 | CA | MD | Orthopaedic Surgery Physician |
| 125.062786 | IL | MD | Orthopaedic Surgery Physician |
| 3952 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Regional Medical Center | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Orthopaedic Surgery | Current | Accepting new patients |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Johnson Regional Medical Center | Orthopaedic Surgery | Current | Accepting new patients |
| Johnson Regional Medical Center | Current | Accepting new patients | |
| Arizona Orthosports Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Orthosports Physical Therapy | Past | Accepting new patients |
Locations
1100 E Poplar St
Ste B
Clarksville, AR 72830
Phone (479) 754-5454
1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393
1 Medicine Dr
Clarksville, AR 72830
Phone (479) 754-5405
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Clarksville, AR
- NPI 1396794525
-
- Orthopaedic Surgery Physician
- Clarksville, AR
- NPI 1639557226
-
- Orthopaedic Surgery Physician
- Fort Smith, AR
- NPI 1699070649
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Land Ambulance
- Clarksville, AR
- NPI 1275753881
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Physical Therapist
- Surprise, AZ
- NPI 1467511246
-
- Physical Therapy Clinic/Center
- Glendale, AZ
- NPI 1265808240
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clarksville, AR
- NPI 1134116049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1578592895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E POPLAR ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E POPLAR ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304419",
"telephone_number": "479-754-5393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRYAN",
"middle_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "125.062786",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A156007",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3952",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AR",
"license": "E-12426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.