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BRENT SMITH PLLC NPI 1083804702


NPI Information

NPI: 1083804702
Provider Name: BRENT SMITH, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
22433 MIDDLEBELT RD
FARMINGTON HILLS, MI
ZIP 48336
Phone: (248) 476-1900
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BRENT SMITH, PLLC is a clinic center in Farmington Hills, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BRENT SMITH, PLLC NPI is 1083804702. The provider is registered as an organization entity type.

The provider's business location address is:

22433 MIDDLEBELT RD
FARMINGTON HILLS, MI
ZIP 48336-743
Phone: (248) 476-1900
Fax: (248) 476-8753

The provider's authorized official is Brent David Smith .
The authorized official title is Owner and has the following contact phone number (586) 803-1548.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 7/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center5101011057MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H10813MEDICARE UPINMICHIGAN
24267288MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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