Bridges Wade Smith III, MS, LSPE

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

11716 Issued in TN

Practice address

1241 Volunteer Pkwy
Suite 436
Bristol, TN 37620-4659

Phone

(423) 990-2315

Fax

(423) 990-2316

NPI assigned

Feb 7, 2014

Last updated

Feb 7, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridges W. Smith, P.C.

  • Adult Mental Health Clinic/Center
  • Bristol, TN
  • NPI 1164846135
  NPD (past) Authorized official

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1649694860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 VOLUNTEER PKWY",
            "address_2": "SUITE 436",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204659",
            "telephone_number": "423-990-2315",
            "fax_number": "423-990-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 VOLUNTEER PKWY",
            "address_2": "SUITE 436",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204659",
            "telephone_number": "423-990-2315",
            "fax_number": "423-990-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIDGES",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MS, LSPE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TN",
            "license": "11716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Kestner Skeen
• Samantha Denise Slagle, LCSW
• Laura Slaughter
• Jon Slaven, PA-C
• Barbara Jo Smith, FNP
• Cameron Quincy Smith, M.D.
• Crystal Lynn Smith
• Jayson C. Smith, D.M.D.
• Kim K. Smith, N.P.
• Megan Smith

• Health Service Psychologist in Bristol, TN
• Providers in Bristol, TN by specialty
• Health Service Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.