Brian M Smith, DMD MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS024550L Issued in PA

Practice address

101 E Lehigh Ave
PM
Philadelphia, PA 19125-1011

Phone

(215) 707-3613

Fax

(215) 707-5405

NPI assigned

Oct 12, 2005

Last updated

Apr 25, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Maxillofacial SurgeryAlso: Oral Surgery

Education

Perelman School of Med at the University of Pennsylvania, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score

85.23 of 100Reported as group

Quality

77.64

Promoting interoperability

98

Improvement activities

40

Cost

68.41

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: bsmith3527@direct.cooperhealth.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cooper Surgical Associates, PA

  • Orthopaedic Surgery Physician
  • Voorhees, NJ
  • NPI 1427177195
  Medicare reassignment Care Compare group
• Delaware Valley Maxillofacial & Oral Surgery LLC

  dba Southeastern Pa Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1073641148
  NPD (past) Authorized official
• Cooper Obstetrical Associates, PC

  • Obstetrics & Gynecology Physician
  • Camden, NJ
  • NPI 1194745976
  NPD (past)
• Cooper Surgical Associates

  • Urology Physician
  • Cherry Hill, NJ
  • NPI 1083732143
  NPD (past)
• Cooper Surgical Associates, PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sewell, NJ
  • NPI 1699061903
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Cooper Health System

  dba Cooper University Hospital

  • Land Ambulance
  • Camden, NJ
  • NPI 1174976724

  Hospital

  Care Compare affiliation
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309
  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1811985948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E LEHIGH AVE",
            "address_2": "PM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251011",
            "telephone_number": "215-707-3613",
            "fax_number": "215-707-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E LEHIGH AVE",
            "address_2": "PM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251011",
            "telephone_number": "215-707-3613",
            "fax_number": "215-707-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "DMD MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS024550L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012478530006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Smith
• Ashley Smith
• Ashley Cheyenne Smith, DMD
• Barbara N. Smith, PH.D.
• Benjamin Smith
• Brian Patrick Smith, MD
• Bridget Smith, PSYD
• Bridget Smith
• Brooke Smith
• Cara Lea Smith, MD

• Oral and Maxillofacial Surgery (Dentist) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.

Verify at the official NPI Registry.