Active NPI
Brenda L. Smith, M.D.
- Gynecology Physician
- Bellingham, WA
National Provider Identifier
1962408039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD00037884
- Practice address
- 500 Birchwood Ave
Suite a
Bellingham, WA 98225-1704 - Phone
- (360) 738-7030
- Fax
- (360) 738-7959
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD00037884 | WA | Primary |
Addresses
Primary practice location
500 Birchwood Ave
Suite a
Bellingham, WA 98225-1704
Mailing address
500 Birchwood Ave.
Suite a
Bellingham, WA 98225
Phone (360) 738-7030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00037884 | WA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962408039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BIRCHWOOD AVE.",
"address_2": "SUITE A",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-738-7030",
"fax_number": "360-738-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BIRCHWOOD AVE",
"address_2": "SUITE A",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251704",
"telephone_number": "360-738-7030",
"fax_number": "360-738-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRENDA",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "WA",
"license": "MD00037884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- 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.