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DR. BRADLEY SMITH M.D. NPI 1932279726


NPI Information

NPI: 1932279726
Provider Name: DR. BRADLEY SMITH, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1106 S PACIFIC COAST HWY
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 316-1661
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DR. Bradley Smith, M.D. is a family medicine in Redondo Beach, CA. 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. DR. Bradley Smith, M.D. NPI is 1932279726. 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:

1106 S PACIFIC COAST HWY
REDONDO BEACH, CA
ZIP 90277-902
Phone: (310) 316-1661

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/21/2008.


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
1207Q00000XFamily MedicineG066535CALIFORNIAYes

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
1ZZZ32051ZOTHERCALIFORNIABLUE SHIELD
2E36033MEDICARE UPINCALIFORNIA
3ZZZ32051ZMEDICAIDCALIFORNIA
4WG66535CMEDICARE PINCALIFORNIA

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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