Bernard Smith, M.D.

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

29107-020 Issued in WI

Practice address

1428 N Farwell Ave
Milwaukee, WI 53202-2904

Phone

(414) 278-0424

Fax

(414) 278-0521

NPI assigned

Jan 19, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720131097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022904",
            "telephone_number": "414-278-0424",
            "fax_number": "414-278-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022904",
            "telephone_number": "414-278-0424",
            "fax_number": "414-278-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BERNARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "WI",
            "license": "29107-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31978700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Michal Irene Smith
• Arianna Smith
• Barbara Smith, LPN
• Barbara Smith
• Bente E Smith, PA-C
• Bradley Smith, FNP-BC
• Brianna Smith, CBRF CERTIFIED
• Candice Smith
• Carolyn Shannon Smith, M.D.
• Charlene Smith, LPC

• Ambulatory Family Planning Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Ambulatory Family Planning Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.