Individual provider Active NPI

Bradley J Smith, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Limerick, PA
National Provider Identifier
1902928047
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD427776 Issued in PA
Practice address
400 Enterprise Dr FL 2
Limerick, PA 19468-1224
Phone
(800) 321-9999
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X MD427776 PA Primary

Addresses

Primary practice location

400 Enterprise Dr FL 2
Limerick, PA 19468-1224

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (267) 592-6191

Other practice location 1

100 E Lancaster Ave Ste 456
Wynnewood, PA 19096-3434
Phone (800) 321-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070503000025 PA Practitioner - Sports MedicinePractitioner - Family PracticePractitioner - Other (Physician) 3375649676 Reassigns benefits to 2 organizations
I20191204001700 NJ Practitioner - Sports Medicine 3375649676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250

3300 Tillman Dr
FL 2
Bensalem, PA 19020-2071
Phone (215) 642-6900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD427776PAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC Sports Medicine CurrentSince Nov 1, 2019 Accepting new patients
Main Line Healthcare CurrentSince Aug 1, 2019 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Sports Medicine CurrentSince Jun 4, 2018 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Nov 1, 2019 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jun 4, 2018 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

27 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 527-1762

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

2630 Holme Ave
Ste 200
Philadelphia, PA 19152
Phone (215) 332-3972

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

400 Enterprise Dr
Fl 2
Royersford, PA 19468
Phone (267) 335-3558

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

100 E Lancaster Ave
Ste 450
Wynnewood, PA 19096
Phone (610) 896-0648

100 E Lancaster Ave
Ste 456
Wynnewood, PA 19096
Phone (610) 649-8541

6 E Lancaster Ave
Ste 200
Wynnewood, PA 19096
Phone (610) 896-0648

Interoperability endpoints

  • Direct secure messaging: bradley.smith@rot.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1902928047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "267-592-6191",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE DR FL 2",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194681224",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Lancaster Ave Ste 456",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190963434",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "484-297-6244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD427776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limerick, PA

Sources for this page

Verify at the official NPI Registry.