Active NPI
Brian David Smith, M.D.
- Ophthalmology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036079800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036079800 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brian.smith.p1@direct.esg.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 86.03
- Improvement activities
- 40
- Cost
- 74.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1115 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VRF Eye Specialty Group, PLC | Ophthalmology | Current | Accepting new patients |
| VRF Eye Specialty Group, PLC | Ophthalmology | Current | 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
- brian.smith.p6@direct.uthsc.nextgenshare.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.