CHARLES JACKSON SMITH MD NPI 1124194535

NPI Information

  • NPI: 1124194535
  • Provider Name: CHARLES JACKSON SMITH, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 222 N 7TH ST
    BISMARCK, ND
    ZIP 58501
  • Phone: (701) 323-6000

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NPI Details

Charles Jackson Smith, MD is a nephrology internal medicine in Bismarck, ND. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Charles Jackson Smith, MD NPI is 1124194535. 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:

222 N 7TH ST
BISMARCK, ND
ZIP 58501-436
Phone: (701) 323-6000
Fax: (701) 323-5709

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology9851NORTH DAKOTAYes

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
113238MEDICAIDNORTH DAKOTA
2N24907MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA
3D69096MEDICARE UPINNORTH DAKOTA

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: 11/21/2025

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