Lee Bryan Smith, M.D., J.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

13596 Issued in WV

Practice address

453 Van Voorhis Rd
Monongalia County Health Department
Morgantown, WV 26505-3408

Phone

(304) 598-5100

Fax

(304) 598-5199

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Doctor of Medicine

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1659455236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 VAN VOORHIS RD",
            "address_2": "MONONGALIA COUNTY HEALTH DEPARTMENT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053408",
            "telephone_number": "304-598-5100",
            "fax_number": "304-598-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 VAN VOORHIS RD",
            "address_2": "MONONGALIA COUNTY HEALTH DEPARTMENT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053408",
            "telephone_number": "304-598-5100",
            "fax_number": "304-598-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEE",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D., J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "13596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128733000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Smith, APRN
• Kristina L Smith, PAC
• Kristopher Smith, PA-C
• Kyle Buchanan Smith, M.D.
• Layne Mackenzie Smith, PHARMD
• Linda Smith, D.O.
• Lynzi Smith, MD
• Madison Smith, DDS
• Makayla Smith
• Marilyn E Smith, APRN

• Emergency Medicine Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.