NPI Details
Bradley W Smith, D.O. is a family medicine in Pueblo, CO with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bradley W Smith, D.O. NPI is 1336191915. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:2002
The provider's business location address is:
44 BRIARGATE TER
PUEBLO, CO
ZIP 81001-743
Phone: (719) 546-6300
Fax: (719) 546-6111
The NPI 1336191915 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 06D1075086 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Sleep study including heart rate, breathing, airflow, and effort (HCPCS:95806)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Sleep study in sleep lab with continuous airway pressure (6 years or older) (HCPCS:95811)
- Sleep study in sleep lab (6 years or older) (HCPCS:95810)
The enumeration date for this NPI number is 5/16/2006 and was last updated on 5/20/2024.
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 |
| 1 | 207QS1201X | Family Medicine | Sleep Medicine | 42143 | COLORADO | No |
| 2 | 207Q00000X | Family Medicine | | 42143 | COLORADO | Yes |
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 |
| 1 | 9000146529 | MEDICAID | COLORADO | |
