Brandon Lee Smith, CERTIFIED ORTHOTIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

CS0162

Practice address

3244 Kimball Ave
Manhattan, KS 66503

Phone

(785) 537-8897

Fax

(785) 537-8893

NPI assigned

Feb 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Professional Orthotic & Prosthetic Services, LLC

  • Prosthetic/Orthotic Supplier
  • Clay Center, KS
  • NPI 1417509910
  NPD Authorized official
• Professional Orthotic & Prosthetic Services, LLC

  • Prosthetic/Orthotic Supplier
  • Manhattan, KS
  • NPI 1952961799
  NPD Authorized official

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1730486457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 KIMBALL AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "66503",
            "telephone_number": "785-537-8897",
            "fax_number": "785-537-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 KIMBALL AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "66503",
            "telephone_number": "785-537-8897",
            "fax_number": "785-537-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CERTIFIED ORTHOTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "CS0162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION FROM BOC",
            "identifier": "C50162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Sloan, FNP-BC
• Ramez Awni Smairat, MD
• Ann B Smit, PHD
• Smith Internal Medicine, P.a.
• Abigail Smith
• Carly Smith
• Christopher Dean Smith, D.D.S.
• Cyra Smith, PA-C
• Dana Ryan Smith, DDS
• Duane A Smith, CRNA

• Specialist in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.