Bruce Cameron Smith, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

23254 Issued in WA

Practice address

2811 S 102ND St
Tukwila, WA 98168-1870

Phone

(206) 320-4000

NPI assigned

Aug 2, 2005

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

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CP Seattle Wa Hospice, LLC

  • Community Based Hospice Care Agency
  • Tukwila, WA
  • NPI 1174345193

  Hospice and Palliative Medicine

  NPD
• Providence Health & Services - Washington

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Seattle, WA
  • NPI 1528719184
  NPD
• Providence Health & Services - Washington

  • Community Based Hospice Care Agency
  • Seattle, WA
  • NPI 1689827321
  NPD
• Bellevue Internal Medicine Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bellevue, WA
  • NPI 1235206558
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1821099672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S 102ND ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981681870",
            "telephone_number": "206-320-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S 102ND ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981681870",
            "telephone_number": "206-320-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRUCE",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "23254",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "23254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SM Senior Care LLC
• Elizabeth Smart
• Anisha L Smith
• Ashley Michelle Smith
• Blaise Kenneth Smith
• Ebony A Smith
• Lauren Ashley Smith
• Matthew Smith
• McKina Smith
• Shade Smith

• Hospice and Palliative Medicine (Internal Medicine) Physician in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.