Individual provider Active NPI

Bradley W Smith, MD

  • Orthopaedic Surgery Physician
  • Murray, UT
National Provider Identifier
1992123731
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
13389732-1205 Issued in UT
Practice address
5316 S Woodrow St Ste 200
Murray, UT 84107-5479
Phone
(801) 747-1020
Fax
(801) 747-1023
NPI assigned
Mar 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 13389732-1205 UT Primary

Addresses

Primary practice location

5316 S Woodrow St Ste 200
Murray, UT 84107-5479

Mailing address

5316 S Woodrow St Ste 200
Murray, UT 84107-5479
Phone (801) 747-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200817002196 TX Practitioner - Orthopedic Surgery 3779805684 Reassigns benefits to 1 organization
I20240224000082 UT Practitioner - Orthopedic Surgery 3779805684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5316 S Woodrow St
Suite 200
Murray, UT 84107-5479
Phone (801) 747-1020

Hospital & facility affiliations

  • LDS Hospital Hospital, Salt Lake City, UT, CCN 460006
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13389732-1205UTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley W Smith MD PC Multi-Specialty CurrentSince Dec 10, 2023 Accepting new patients
Precision Orthopedics & Sports Medicine Multi-Specialty CurrentSince Oct 1, 2020 Accepting new patients
Precision Orthopedics & Sports Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

2120 N MacArthur Blvd
Irving, TX 75061
Phone (972) 438-4636

2120 N MacArthur Blvd
Ste 100
Irving, TX 75061
Phone (972) 438-4636

245 W State Highway 114
Ste 300
Southlake, TX 76092
Phone (682) 477-4290

5316 S Woodrow St
Ste 200
Salt Lake City, UT 84107
Phone (801) 747-1020

Interoperability endpoints

  • Direct secure messaging: bsmith1671494@direct.texashealth.org
  • Direct secure messaging: bradley.smith.1@30853.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694822400000",
    "number": "1992123731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 S WOODROW ST STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075479",
            "telephone_number": "801-747-1020",
            "fax_number": "801-747-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 S WOODROW ST STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075479",
            "telephone_number": "801-747-1020",
            "fax_number": "801-747-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "13389732-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.