Sme Midwest PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SME MIDWEST PC

Practice address

5728 Pergola Dr Apt 207
Columbia, MO 65201-2897

Phone

(678) 977-5507

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Olubusola Brimmo, MD

Title

Owner

Phone

(678) 977-5507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1942774625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 COLLINGTON RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162259",
            "telephone_number": "678-977-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 PERGOLA DR APT 207",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652012897",
            "telephone_number": "678-977-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SME MIDWEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "BRIMMO",
        "authorized_official_first_name": "OLUBUSOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-977-5507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SLP Fusion
• Melissa M Small, MA, LPC
• Oahsah C Small, MC
• Karen Lynn Smarr, PH.D.
• April Smathers, LMT
• Abigail Lorraine Smith Kendall, OD
• Alexander Smith, PHARM.D.
• Alexander Smith, PHARMD.
• Anita Faye Smith, RD LD
• Ashley Elizabeth Smith, PH.D.

• General Practice Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.