Bradley D Smith, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS029629L Issued in PA

Practice address

1376 Freeport Rd
Suite 1B
Pittsburgh, PA 15238-3110

Phone

(412) 963-7760

Fax

(412) 967-1030

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578646758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 FREEPORT RD",
            "address_2": "SUITE 1B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383110",
            "telephone_number": "412-963-7760",
            "fax_number": "412-967-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 FREEPORT RD",
            "address_2": "SUITE 1B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383110",
            "telephone_number": "412-963-7760",
            "fax_number": "412-967-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS029629L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynn Smith, MA, CAADC, CCDPD,LPC
• Benjamin Michael Smith, MD
• Bernadette Smith
• Bethany Smith
• Billie Jo Smith, MS, NCC, LPC
• Brandon Smith, MD
• Brandon Joseph Smith, MD, PHARMD
• Brandon T Smith, MD
• Brian Smith, BOCP
• Brian Joseph Smith, D.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.