DR. ERIC BRYAN SMITH (NPI# 1033138102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033138102 |
| Entity Type | Individual |
| Full Name | DR. ERIC BRYAN SMITH |
| Credential | M.D. |
| Practice Address |
3417 Gaston Ave Ste 830 Dallas TX 75246-1800 |
| Mailing Address |
3600 Gaston Ave Suite 1205 Dallas TX 75246-1800 |
| Practice Telephone | 2148266235 |
| Practice Fax Number | 2148284633 |
| Mailing Telephone | 2146928262 |
| Mailing Fax Number | 2146964190 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | M3741 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 187108601 | 05 | |
| TX | RR MEDICARE | P00476750 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351185 | Eric Smith | Secured Medical Transport (VAN) | 4610 182nd Pl, Country Club Hills, IL 60478-5037 | 2020-09-17 |
| 1265046932 | Eric Wayne Smith | Nurse Practitioner | 1200 Ross St Ste 100, Amarillo, TX 79102-4411 | 2020-09-01 |
| 1588276992 | Eric Smith | Registered Nurse | 3640 W Sunglade Dr, Tucson, AZ 85742-1134 | 2020-08-18 |
| 1649889676 | Eric Smith | Speech-Language Pathologist | 11888 Longridge Ave Apt 1090, Baton Rouge, LA 70816-3904 | 2020-07-27 |
| 1225500853 | Eric Smith | Driver | 10322 Moss Lea Dr, Baton Rouge, LA 70818-4729 | 2018-12-20 |
| 1598259608 | Eric Smith | Dentist | 28119 John R Rd, Madison Heights, MI 48071-2810 | 2018-06-21 |
| 1013363704 | Eric M Smith | Physician Assistant | 2251 Hempstead Tpke Bldg R, East Meadow, NY 11554-1856 | 2016-05-11 |
| 1811357130 | Eric Smith | Hearing Instrument Specialist | 401 3rd St Ste 5, Rapid City, SD 57701-2207 | 2016-02-29 |
| 1811370919 | Eric Smith | Community/Behavioral Health | 11656 Yellowstone St, Detroit, MI 48204-1426 | 2015-07-07 |
| 1255698411 | Eric J Smith | Physical Therapist | 7805 Se 35th Ave, Portland, OR 97202-8409 | 2012-04-12 |
| Street Address |
3417 GASTON AVE STE 830 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700512 | Healthtexas-med Provider | Internal Medicine | 3417 Gaston Ave, Suite 1000, Dallas, TX 75246-2016 | 2005-06-20 |
| 1013428366 | Rhonda Choi | Nurse Practitioner | 3417 Gaston Ave, Dallas, TX 75246-2022 | 2017-10-13 |
| 1013332246 | Kasey Pomposelli Keene | Physician Assistant | 3417 Gaston Ave, Suite 830, Dallas, TX 75246-0830 | 2014-02-25 |
| 1285070573 | Jun Zhao | Dietitian, Registered | 3417 Gaston Ave, Suite 1000, Dallas, TX 75246-2016 | 2013-05-14 |
| 1801230701 | John Robert Dale | Internal Medicine | 3417 Gaston Ave, Suite 1100, Dallas, TX 75246-2016 | 2013-04-22 |
| 1871851220 | Elecia Eunju Kim | Internal Medicine | 3417 Gaston Ave, Suite 1000, Dallas, TX 75246-2016 | 2012-04-23 |
| 1629369772 | Daniel Gregory Benson | Urology | 3417 Gaston Ave, Suite 830, Dallas, TX 75246 | 2011-04-25 |
| 1689964215 | Kyle Lamar Gummelt | Internal Medicine | 3417 Gaston Ave, Suite 1100, Dallas, TX 75246-2016 | 2011-04-16 |
| 1528360021 | George Vinu Ipe | Internal Medicine | 3417 Gaston Ave, Suite 1100, Dallas, TX 75246-2016 | 2010-12-03 |
| 1093034126 | Gregory Robert Thoreson | Urology | 3417 Gaston Ave, Suite 830, Dallas, TX 75246-0830 | 2010-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750708061 | Boston Medical Group - Texas, P.a. | Urology | 12801 N Central Expy Ste 1107, Dallas, TX 75243-1893 | 2014-03-25 |
| 1033553409 | Andrew Yang Sun | Urology | 1411 N Beckley Ave Ste 464, Dallas, TX 75203-1268 | 2013-04-29 |
| 1518229046 | Dayron Rodriguez | Urology | Ut Southwestern Department of Urology, 5323 Harry Hines Blvd. Ja5.120, Dallas, TX 75235 | 2012-06-11 |
| 1679830442 | Brett Allen Johnson | Urology | 2001 Inwood Dr Urology - Ut Southwestern Medical Center, Dallas, TX 75390-0001 | 2012-04-18 |
| 1588930200 | Ted Daniel Klein | Urology | 7777 Forest Ln Ste C618, Dallas, TX 75230-6855 | 2012-03-27 |
| 1023309986 | Tolulope Bakare | Urology | 2001 Inwood Rd Bldg 3, Dallas, TX 75390-7202 | 2011-04-27 |
| 1457599334 | The Urology Institute Frsico | Urology | 9 Medical Pkwy Ste 307, Dallas, TX 75234-7855 | 2009-01-30 |
| 1972756815 | Arthur Walter Shannon | Urology | 3851 Potomac, Dallas, TX 75205 | 2008-10-23 |
| 1265612493 | Allen Plotkin | Urology | 8 Crownwood Ct, Dallas, TX 75225-2068 | 2007-11-05 |
| 1720157365 | Craig Andrew Peters | Urology | 2350 N. Stemmons Freeway, Suite F4300, Dallas, TX 75207 | 2006-11-07 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.