BRENNEN D SMITH DO NPI 1376753277

NPI Information

  • NPI: 1376753277
  • Provider Name: BRENNEN D SMITH, DO
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2400 ST FRANCIS DR
    BRECKENRIDGE, MN
    ZIP 56520
  • Phone: (218) 643-3000

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NPI Details

Brennen D Smith, DO is an orthopaedic surgery of the spine orthopaedic surgery in Breckenridge, MN with 20 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Brennen D Smith, DO NPI is 1376753277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

2400 ST FRANCIS DR
BRECKENRIDGE, MN
ZIP 56520-025
Phone: (218) 643-3000
Fax: (218) 643-0850

The NPI 1376753277 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 enumeration date for this NPI number is 5/22/2007 and was last updated on 10/2/2019.

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
1207X00000XOrthopaedic Surgery15379NORTH DAKOTANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine34.010178OHIONo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine61204MINNESOTAYes

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
11471472MEDICAIDNORTH DAKOTA
23810022462MEDICAIDWEST VIRGINIA
33158630MEDICAIDOHIO
4000000480404OTHEROHIOOH MEDICAID UNISON

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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