Smith, Bradley W

Smith, Bradley W is an individual health care provider with primary practice located at 44 Briargate Ter , Pueblo CO 81001-1743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Bradley W can be contacted via phone (719) 546-6300.

Contact Information

Primary practice address
44 Briargate Ter Pueblo CO 81001-1743
Phone: (719) 546-6300
Fax: (719) 546-6111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X 42143 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42143 Colorado

Profile Details

NPI number 1336191915
LBN Legal business name Smith, Bradley W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336191915 NPPES
Colorado MEDICAID 9000146529

Popular Providers