Individual provider Active NPI

Bryan Scott Smith, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1841429008
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27607 Issued in OK
Practice address
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone
(602) 263-1200
Fax
(602) 263-1619
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD437673 PA
Diagnostic Radiology Physician 2085R0202X 27607 OK Primary

Addresses

Primary practice location

4212 N 16TH St
Phoenix, AZ 85016-5319

Mailing address

PO Box 95460
Cleveland, OH 44101-0033
Phone (602) 581-6076

Other identifiers 2

IdentifierTypeStateIssuer
P00880580OtherRR MEDICARE
200282660AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MS, NM, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100820000287 OK Practitioner - Diagnostic Radiology 1355488560 Reassigns benefits to 11 organizations
I20250527002383 MS Practitioner - Diagnostic Radiology 1355488560 Reassigns benefits to 2 organizations
I20250813004495 NM Practitioner - Diagnostic Radiology 1355488560 Reassigns benefits to 2 organizations
I20250912000964 TX Practitioner - Diagnostic Radiology 1355488560 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Hma Hospitalists LLCGroup PAC ID 5991972077, 55 clinicians
Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians
Oklahoma Surgical Hospital LLCGroup PAC ID 7315859121, 6 clinicians

Practice addresses (Care Compare)

1401 Greenway CV
Oxford, MS 38655-9710
Phone (601) 268-8103

1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700

224 E 24TH PL
Tulsa, OK 74114-2606
Phone (601) 268-8103

2408 E 81St St
Suite 300
Tulsa, OK 74137-4215
Phone (918) 477-5071

350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (601) 824-8501

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-6625

4401 Whispering Creek Dr
Sand Springs, OK 74063-3173
Phone (601) 268-8103

483 W Seed Farm Rd
Hu Hu Kam Memorial Hosp
Sacaton, AZ 85147-0038
Phone (602) 528-1200

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8103

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.7 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
41.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27607OKMDDiagnostic Radiology Physician
MD437673PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix Area CurrentSince Jan 14, 2026 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Mississippi Hma Hospitalists, LLC Diagnostic Radiology CurrentSince May 14, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 31, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jan 14, 2026 Accepting new patients
Irene Benn Medical Center CurrentSince Jan 14, 2026 Accepting new patients
California Managed Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Medical Foundation, Inc. CurrentSince Jul 13, 2025 Accepting new patients
Gila Regional Medical Center Current Accepting new patients
Gila River Health Care CurrentSince Aug 14, 2025 Accepting new patients
Gila River Health Care Corporation CurrentSince Aug 14, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Tulsa Radiology Associates Inc Diagnostic Radiology CurrentSince Jul 5, 2010 Accepting new patients
Las Cruces Physician Services LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince Oct 13, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince May 29, 2025 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology CurrentSince Jun 11, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jan 14, 2026 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
DHHS IHS Phoenix CurrentSince Jan 14, 2026 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jul 29, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 31, 2025 Accepting new patients
Medical Foundation, Inc. Diagnostic Radiology CurrentSince Jul 13, 2025 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Tulsa CT LLC Past Accepting new patients
Familycare Associates,PA Past Accepting new patients
Allegheny Radiology Associates, LTD Diagnostic Radiology Past Accepting new patients
Pueblo Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
Radiology Consultants of Tulsa Inc Diagnostic Radiology Past Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

Dept LA 21738
Pasadena, CA 91185

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

1800 12th St
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

4111 S Darlington Ave
Ste 700
Tulsa, OK 74135
Phone (918) 743-8943

5801 E 41st St
Ste 900
Tulsa, OK 74135
Phone (918) 743-8838

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

Interoperability endpoints

  • Direct secure messaging: bryan.smith@direct.stjohnhealthsystem.com
  • FHIR API: https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1841429008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95460",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441010033",
            "telephone_number": "602-581-6076",
            "fax_number": "602-263-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD437673",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "27607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00880580",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200282660A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.