Bennett E Smith Jr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

06466 Issued in MS

Practice address

118 College Dr
5066
Hattiesburg, MS 39406

Phone

(601) 266-5390

Fax

(601) 266-4205

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982740718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR",
            "address_2": "5066",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39406",
            "telephone_number": "601-266-5390",
            "fax_number": "601-266-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR",
            "address_2": "5066",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39406",
            "telephone_number": "601-266-5390",
            "fax_number": "601-266-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BENNETT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "06466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiles by Bigelow
• Amanda Martin Smith, MIDWIFE
• Angela Smith, FNP
• Ashlee Smith, AGACNP-BC
• Ashley Amanda Smith
• Bethany H Smith, CRNA
• Brandi Fennell Smith, FNP-C
• Christian Smith
• Christy Smith, LCSW
• Courtney L Smith

• General Practice Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• General Practice Physician in Mississippi

• 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.