DR. BRANDON TYLER SMITH (NPI# 1114583432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114583432 |
| Entity Type | Individual |
| Full Name | DR. BRANDON TYLER SMITH |
| Credential | DMD |
| Practice Address |
21 Bronson Way Skillman NJ 08558-1657 |
| Practice Telephone | 6096512367 |
| Mailing Telephone | 6096512367 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NJ | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Getty Avenue, Paterson, NJ 07503 | 9737542000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967556 | Brandon Shane Smith | Registered Nurse | 2630 Dumaine St, New Orleans, LA 70119-3420 | 2020-09-23 |
| 1255947255 | Brandon Smith | Nurse Practitioner | 5067 Camden St, Chubbuck, ID 83202-3501 | 2020-09-16 |
| 1982248530 | Brandon Smith | Massage Therapist | 1324 Stoystown Rd, Friedens, PA 15541-7504 | 2019-11-06 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1609386580 | Brandon D Smith | Respite Care | 686 Wischer Dr, Taylor Mill, KY 41015 | 2017-10-05 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1801333471 | Brandon Smith | Specialist/Technologist | 133 Eagle Ct, Mooresville, NC 28117-8022 | 2017-01-20 |
| 1376959932 | Brandon L. Smith | Dentist | 738 E Spring St, Cookeville, TN 38501-4230 | 2014-07-03 |
| 1669897161 | Brandon Smith | Counselor | 1815 W 58th St, Tulsa, OK 74107-8429 | 2014-02-20 |
| Street Address |
21 BRONSON WAY |
| City | SKILLMAN |
| State | NJ |
| Zip Code | 08558-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183693 | Pablo Lapuerta | Internal Medicine | 5 Seminole Rd, Skillman, NJ 08558 | 2018-11-13 |
| 1750877544 | Jeffrey S. Mannheimer, Pt, Phd, PC | Physical Therapist | 88 Orchard Road, Suite 11 In The Carriage House, Skillman, NJ 08558 | 2018-07-05 |
| 1366764417 | Rifat Parvez | Pharmacist | 35 Robin Drive, Skillman, NJ 08558 | 2010-02-17 |
| 1285964320 | Brighter Dental Care Montgomery & Skillman | Dentist | 46 Vreeland Drive, Skillman, NJ 08558 | 2010-01-13 |
| 1952637993 | Mary Susan Blanks | Obstetrics & Gynecology | 36 East Ridge Road, Skillman, NJ 08558 | 2009-10-27 |
| 1578722393 | American Health Equipment Company Inc | Durable Medical Equipment & Medical Supplies | 111 Colfax Rd, Skillman, NJ 08558 | 2008-06-06 |
| 1306039219 | Christine M Beach | Social Worker | Kenneth W. Willis Md, 168 Tamarack Circle, Skillman, NJ 08558 | 2007-08-23 |
| 1295936698 | Malcolm Joseph Zarnfaller | Chiropractor | 400 Mountain View Rd, Skillman, NJ 08558 | 2007-05-31 |
| 1912024068 | Natalie Star | Social Worker | 144 Tamarack Circle, Skillman, NJ 08558 | 2007-03-23 |
| 1093848103 | Aparma Chawla | Dentist | 67 Tamarack Circle, Skillman, NJ 08558 | 2007-03-14 |
| Find all providers in zip 08558 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
| 1033710926 | Akshay Chaudhari | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm 4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1124629019 | Shweta Bhagvanbhai Chaudhary | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm No4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1851992150 | Samantha Dickson | Student in an Organized Health Care Education/Training Program | 304 David Ct, Mullica Hill, NJ 08062-1512 | 2020-11-03 |
| 1558960120 | Savannah Jane Potter | Student in an Organized Health Care Education/Training Program | 35 Old Ln, Towaco, NJ 07082-1229 | 2020-10-23 |
| 1528665247 | Famya Khan | Student in an Organized Health Care Education/Training Program | 8 Robin Cir, Princeton Junction, NJ 08550-2244 | 2020-10-06 |
| 1861009599 | Rachael Nicole Romer | Student in an Organized Health Care Education/Training Program | 19 Pinehurst Ct, Blackwood, NJ 08012-5585 | 2020-09-27 |
| 1134735327 | Nickolas Auleta | Student in an Organized Health Care Education/Training Program | 7 Buckingham Dr, Southampton, NJ 08088-1101 | 2020-09-22 |
| 1871109751 | Garrett Bruce Miller | Student in an Organized Health Care Education/Training Program | 28 E Cohawkin Rd, Clarksboro, NJ 08020-1344 | 2020-09-16 |
| 1861007130 | Melyssa Mera Mandelbaum | Student in an Organized Health Care Education/Training Program | 13-47 Comerford Pl, Fair Lawn, NJ 07410-5103 | 2020-09-13 |
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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.