Individual provider Active NPI

Brian David Smith, M.D.

  • Ophthalmology Physician
  • Memphis, TN
National Provider Identifier
1669458162
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036079800 Issued in IL
Practice address
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone
(901) 685-2200
Fax
(901) 255-5631
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036079800 IL Primary

Addresses

Primary practice location

825 Ridge Lake Blvd
Memphis, TN 38120-9411

Mailing address

PO Box 22510
Jackson, MS 39225-2510
Phone (901) 685-2200

Other practice location 1

950 N York Rd
Suite 203
Hinsdale, IL 60521-2950
Phone (630) 789-6700

Other identifiers 1

IdentifierTypeStateIssuer
036079800MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.smith.p1@direct.esg.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201028000123 MS Practitioner - Ophthalmology 5193763332 Reassigns benefits to 1 organization
I20201103000517 TN Practitioner - Ophthalmology 5193763332 Reassigns benefits to 1 organization
I20210607002057 AR Practitioner - Ophthalmology 5193763332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VRF Eye Specialty Group, PLCGroup PAC ID 2264328723, 16 clinicians

Practice addresses (Care Compare)

7600 Airways Blvd
Suite F
Southaven, MS 38671-5138
Phone (901) 685-2200

825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
86.03
Improvement activities
40
Cost
74.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1115
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VRF Eye Specialty Group, PLC Ophthalmology CurrentSince Oct 26, 2020 Accepting new patients
VRF Eye Specialty Group, PLC Ophthalmology CurrentSince Oct 26, 2020 Accepting new patients

Locations

800 Professional Acres Dr
Jonesboro, AR 72401
Phone (870) 333-1087

325C N Sebastian
West Helena, AR 72390
Phone (870) 572-7886

412 Central Ave
Coldwater, MS 38618
Phone (662) 622-5173

6947 Crumpler Blvd
Olive Branch, MS 38654
Phone (662) 893-3300

7600 Airways Blvd
Ste F
Southaven, MS 38671
Phone (662) 349-5901

1458 W Poplar Ave
Ste 101
Collierville, TN 38017

825 Ridge Lake Blvd
Memphis, TN 38120
Phone (901) 685-6150

Interoperability endpoints

  • Direct secure messaging: brian.smith.p6@direct.uthsc.nextgenshare.com
  • Direct secure messaging: drsmith@esg.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1669458162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22510",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392252510",
            "telephone_number": "901-685-2200",
            "fax_number": "901-255-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209411",
            "telephone_number": "901-685-2200",
            "fax_number": "901-255-5631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N York Rd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605212950",
            "country_code": "US",
            "telephone_number": "630-789-6700",
            "fax_number": "630-789-3909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036079800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079800",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.smith.p1@direct.esg.nextgenshare.com",
            "affiliation": "N",
            "address_1": "825 Ridge Lake Blvd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "38120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.