James Brandon Smith, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

26004 Issued in WV

Practice address

WV Division of Rehabilitation
500 Quarrier St, Ste 500
Charleston, WV 25301-9829

Phone

(304) 353-5055

NPI assigned

Aug 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

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.

• Southern West Virginia Primary Care Inc

  • Primary Care Clinic/Center
  • Beckley, WV
  • NPI 1598147431
  Medicare reassignment NPD

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1942493622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MACCORKLE AVE SE # 303",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041419",
            "telephone_number": "304-807-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WV DIVISION OF REHABILITATION",
            "address_2": "500 QUARRIER ST, STE 500",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253019829",
            "telephone_number": "304-353-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2024-05-08",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "26004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WV5822F058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Smith
• Heather Smith
• Holly Marie Smith, RN
• Hugh Anthony Smith, M.D.
• Jacquelynn Smith
• James Calvin Smith II
• Jaqualla Smith
• Jasmin Smith
• Jayda Smith, LPN
• Jennifer M. Smith, M.D.

• General Practice Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• General Practice Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.