Individual provider Active NPI

Bryan Matthew Smith, MD

  • Orthopaedic Surgery Physician
  • Clarksville, AR
National Provider Identifier
1578592895
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E-12426 Issued in AR
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

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822000463 AR Practitioner - Orthopedic Surgery 8426088808 Reassigns benefits to 4 organizations

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 CenterGroup PAC ID 1658360284, shared by 10 NPIs, 16 clinicians

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

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6852AZMDFamily Medicine Physician
A156007CAMDOrthopaedic Surgery Physician
125.062786ILMDOrthopaedic Surgery Physician
3952OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Regional Medical Center CurrentSince May 4, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 9, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities Orthopaedic Surgery CurrentSince Sep 9, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 9, 2019 Accepting new patients
Johnson Regional Medical Center Orthopaedic Surgery CurrentSince Jun 1, 2024 Accepting new patients
Johnson Regional Medical Center CurrentSince May 4, 2024 Accepting new patients
Arizona Orthosports Physical Therapy, Inc Physical Therapist PastSince Sep 1, 2006 Accepting new patients
Orthosports Physical Therapy PastSince Nov 1, 2015 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.