BRYAN SMITH CADC NPI 1053601880

NPI Information

  • NPI: 1053601880
  • Provider Name: BRYAN SMITH, CADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 66 BARIBEAU DR
    SUITE 1A
    BRUNSWICK, ME
    ZIP 04011
  • Phone: (207) 373-6971

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NPI Details

Bryan Smith, CADC is an addiction (substance use disorder) counselor in Brunswick, ME. Bryan Smith, CADC NPI is 1053601880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

66 BARIBEAU DR
SUITE 1A
BRUNSWICK, ME
ZIP 04011-230
Phone: (207) 373-6971
Fax: (207) 373-6959

The enumeration date for this NPI number is 4/13/2011 and was last updated on 4/13/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CAC4693MAINEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102140100MEDICAIDMAINE

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: 3/30/2025

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