Smith, Robert Brasfield

Smith, Robert Brasfield is an sole proprietor health care provider with primary practice located at 589 Garfield St Suite 201, Tupelo MS 38801-6301. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Smith, Robert Brasfield can be contacted via phone (662) 680-5565.

Contact Information

Primary practice address
589 Garfield St Suite 201 Tupelo MS 38801-6301
Phone: (662) 680-5565
Fax: (662) 680-5654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 23872 Mississippi

Profile Details

NPI number 1821250978
LBN Legal business name Smith, Robert Brasfield
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2008
Last updated Sep 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821250978 NPPES
Mississippi MEDICAID 09685357
Mississippi MEDICAID 1160121

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