Active NPI
David Glenn Smith, MD LLC
- Pulmonary Disease Physician
- Bowling Green, KY
National Provider Identifier
1871584052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 20451
- Practice address
- 1325 Andrea St
Suite 203
Bowling Green, KY 42104-5852 - Phone
- (270) 846-3811
- Fax
- (270) 846-3812
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 20451 | KY | Primary |
Addresses
Primary practice location
1325 Andrea St
Suite 203
Bowling Green, KY 42104-5852
Mailing address
1325 Andrea St
Suite 203
Bowling Green, KY 42104-5852
Phone (270) 846-3811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalists at Greenview Regional Hospital LLC | Current | Accepting new patients | |
| David Glenn Smith MD LLC | Pulmonary Disease | Current | Accepting new patients |
| Costrini and Meadows PC | Pulmonary Disease | Past | Accepting new patients |
Locations
1801 Ashley Cir
Ste 535
Bowling Green, KY 42104
Phone (270) 790-5550
1325 Andrea St
Ste 203
Bowling Green, KY 42104
Phone (270) 782-8008
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Bowling Green, KY
- NPI 1972792695
-
- Hospitalist Physician
- Bowling Green, KY
- NPI 1417149733
-
- Pulmonary Disease Physician
- Savannah, GA
- NPI 1255360376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1871584052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 ANDREA ST",
"address_2": "SUITE 203",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045852",
"telephone_number": "270-846-3811",
"fax_number": "270-846-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 ANDREA ST",
"address_2": "SUITE 203",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045852",
"telephone_number": "270-846-3811",
"fax_number": "270-846-3812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DAVID",
"middle_name": "GLENN",
"credential": "MD LLC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "20451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.