Bruce C Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17274 Issued in KY

Practice address

423 W Clay St
Clinton, KY 42031-1305

Phone

(270) 653-0220

Fax

(270) 653-0221

NPI assigned

Jul 7, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Communtiy Healthcare of Western Kentucky LLC

  • Primary Care Clinic/Center
  • Clinton, KY
  • NPI 1780102301
  NPD (past)
• Hospital of Fulton, Inc.

  dba Hickman-Fulton County Medical Clinic

  • Rural Health Clinic/Center
  • Hickman, KY
  • NPI 1245208875

  Family Medicine

  NPD (past)
• Parkway Regional Medical Clinic Inc

  • Family Medicine Physician
  • Fulton, KY
  • NPI 1659370153
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962400648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W CLAY ST",
            "city": "CLINTON",
            "state": "KY",
            "postal_code": "420311305",
            "telephone_number": "270-653-0220",
            "fax_number": "270-653-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W CLAY ST",
            "city": "CLINTON",
            "state": "KY",
            "postal_code": "420311305",
            "telephone_number": "270-653-0220",
            "fax_number": "270-653-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRUCE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "17274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000333811",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64172745",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Purchase District Health Dept
• Purchase District Health Dept
• Brandy Marie Robertson, PHARMD
• Carmen Robertson, MS, CCC-SLP
• Danny D Sanders Jr.
• Kelsey Stroud, PHARMD
• Amy Marie Turner, APRN

• Family Medicine Physician in Clinton, KY
• Providers in Clinton, KY by specialty
• Family Medicine Physician in Kentucky

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

Verify at the official NPI Registry.