Individual provider Active NPI

Linda C Smith, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Beaumont, TX
National Provider Identifier
1952304628
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J6246 Issued in TX
Practice address
85 Ih 10 N Ste 202
Beaumont, TX 77707-2500
Phone
(409) 835-0505
Fax
(409) 835-3700
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J6246 TX Primary

Addresses

Primary practice location

85 Ih 10 N Ste 202
Beaumont, TX 77707-2500

Mailing address

85 Ih 10 N Ste 202
Beaumont, TX 77707-2500
Phone (409) 835-0505

Other identifiers 1

IdentifierTypeStateIssuer
110709602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040302001406 TX Practitioner - Physical Medicine and Rehabilitation 6103713235 Practice locations: Beaumont, TX

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical Branch at Galveston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

85 Ih10
Suite 202
Beaumont, TX 77707-2502
Phone (409) 835-0505

Regent Park I 85 Ih 10
Suite 202
Beaumont, TX 77707-2502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6246TXMDPhysical Medicine & Rehabilitation Physician

Hospital & facility affiliations 7

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1952304628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 IH 10 N STE 202",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072500",
            "telephone_number": "409-835-0505",
            "fax_number": "409-835-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 IH 10 N STE 202",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072500",
            "telephone_number": "409-835-0505",
            "fax_number": "409-835-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LINDA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J6246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110709602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.