Active NPI
Bryan Scott Smith, M.D.
- Diagnostic Radiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 27607
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00880580 | Other | RR MEDICARE | |
| 200282660A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, MS, NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Ascension St John Medical Center
- Oklahoma Surgical Hospital, LLC
- Ascension St John Broken Arrow
- Ascension St John Jane Phillips
- Ochsner Rush Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.7 of 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27607 | OK | MD | Diagnostic Radiology Physician |
| MD437673 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Mississippi Hma Hospitalists, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Irene Benn Medical Center | Current | Accepting new patients | |
| California Managed Imaging Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Gila Regional Medical Center | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Tulsa Radiology Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Las Cruces Physician Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Coaxion PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of San Luis Obispo, a Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| DHHS IHS Phoenix | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Medical Foundation, Inc. | Diagnostic Radiology | Current | 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
- bryan.smith@direct.stjohnhealthsystem.com
- 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.
-
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Vascular & Interventional Radiology Physician
- Santa Barbara, CA
- NPI 1821271727
Diagnostic Radiology, OK
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
Diagnostic Radiology, OK
-
- Hospitalist Physician
- Jackson, MS
- NPI 1154608883
Diagnostic Radiology, OK
-
- Diagnostic Radiology Physician
- Templeton, CA
- NPI 1326888140
OK
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1487651857
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1487651857
-
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.