Bradley Smith MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G79816 Issued in CA

Legal business name

BRADLEY SMITH MD PC

Practice address

1329 Spanos CT Ste C1
Modesto, CA 95355-2806

Phone

(209) 451-2377

Fax

(209) 433-0441

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Bradley Smith, MD

Title

President

Phone

(209) 571-5071

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1649504366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576900",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576900",
            "telephone_number": "209-451-2377",
            "fax_number": "209-433-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 SPANOS CT STE C1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552806",
            "telephone_number": "209-451-2377",
            "fax_number": "209-433-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-571-5071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G79816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Giselle Bracho-Soto
• Jacqueline Bracho, OTR/L
• Braden Partners LP
• Carolyn A Bradford, CNM
• Bradley Koehn Chiropractic Corporation
• Jakior Malcolm Bradley, BCBA
• Skye Bradley
• Tessaphone Bradley
• Brady S. Marshall DMD Inc
• Brittni Rose Brady, ASW

• Orthopaedic Surgery Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.