Bradley W. Smith, D.O., Pllc

LBN: Bradley W. Smith, D.O., Pllc
Bradley W. Smith, D.O., Pllc is an health care organization with primary practice located at 1710 Jet Stream Dr Ste 215 , Colorado Springs CO 80921-3937. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as the primary health care specialty. Bradley W. Smith, D.O., Pllc can be contacted via phone (719) 546-6300, or through Smith, Bradley W via phone (719) 252-3578.

Contact Information

Primary practice address
1710 Jet Stream Dr Ste 215 Colorado Springs CO 80921-3937
Fax: (719) 546-6111
Website:
Authorized official contact:
Name: Smith, Bradley W Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X

Profile Details

NPI number 1467291518
LBN Legal business name Bradley W. Smith, D.O., Pllc
DBA Doing business as
Authorized official Smith, Bradley W Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 20th, 2024
Last updated May 20th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467291518 NPPES
Colorado MEDICAID 21159335

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