Michael Brannon Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2043156 Issued in TX

Practice address

2505 S 37TH St
Temple, TX 76504-7103

Phone

(254) 298-3709

NPI assigned

Aug 30, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1750863395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 SUNSHINE RD",
            "city": "HOLLAND",
            "state": "TX",
            "postal_code": "765345080",
            "telephone_number": "512-560-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 37TH ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047103",
            "telephone_number": "254-298-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "BRANNON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2043156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle H. Smith, M.D.
• Landon Bradford Smith
• Lauren Mewhinney Smith, PA
• Lauren Quirk Smith, M.D.
• Mary Johanna Smith, LCSW
• Michael C. Smith, M.D.
• Morie Smith, AUD
• Natosha Smith
• Nicholas Grant Smith, C.R.N.A.
• Pam J. Smith

• Physical Therapy Assistant in Temple, TX
• Providers in Temple, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.