DR. BRADFORD SMITH (NPI# 1457767691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457767691 |
| Entity Type | Individual |
| Full Name | DR. BRADFORD SMITH |
| Credential | M.D. |
| Practice Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
| Practice Telephone | 4803018000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 58214 | AZ | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 59573 | MN | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 26315 | MN | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992711840 | Bradford D Smith | Optometrist | 15 Western Ave, Suite 1, Augusta, ME 04330-7340 | 2006-07-31 |
| 1275552523 | Bradford Peiars Smith | Dentist | 1710 36th St, Bldg B, Vero Beach, FL 32960-4851 | 2006-07-18 |
| 1477522555 | Bradford Marshall Smith | Psychologist | 15 Muzzey St, Lexington, MA 02421-5257 | 2006-03-14 |
| 1285992982 | Bradford Smith | Skilled Nursing Facility | 650 Reed Canal Rd, South Daytona, FL 32119-3230 | 2012-05-01 |
| 1922209998 | Bradford Smith | Nurse Practitioner | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2007-05-29 |
| 1497869580 | Bradford Douglass Smith | Anesthesiology | 8th Avenue and C Street, Lds Hospital, Salt Lake City, UT 84143 | 2006-08-18 |
| 1346353893 | Bradford Alfred Smith | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-08-17 |
| 1447285325 | Bradford Smith | Emergency Medicine | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2006-07-11 |
| 1811924830 | Bradford Davison Smith Jr. | Otolaryngology | 100 E Lancaster Ave, 650 Lankenau Medical Building East, Wynnewood, PA 19096-3450 | 2006-06-26 |
| 1144271602 | Bradford J Smith | Internal Medicine | 6516 E Myrtle Ave, Baker, LA 70714-4348 | 2006-05-12 |
| Street Address |
13400 E SHEA BLVD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85259-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104205 | Mark Randall Wallace | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-06-14 |
| 1598365884 | Evelyn Fennelly | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-27 |
| 1114525755 | Justin Michael Chitel | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-15 |
| 1437757283 | Daniel Marston Herman | Nurse Anesthetist, Certified Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-10-14 |
| 1558969436 | Michael Patrick O'shea | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-13 |
| 1881201655 | Olivia Laurel Baker | Dietitian, Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-09-25 |
| 1164036729 | Kathleen Alexis Howell Barrus | Genetic Counselor, MS | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-09-01 |
| 1649889528 | Aditi Mishra | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-27 |
| 1316556418 | Laura Ann Schaffer | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| 1952910077 | Sarah Elizabeth Rebey | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
| 1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
| 1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
| 1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
| 1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
| 1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
| 1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
| 1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
| 1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
| 1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
| Find all providers in zip 85259 | ||||
| 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 |
|---|---|---|---|---|
| 1861010969 | Wyatt Brown | Student in an Organized Health Care Education/Training Program | 8739 E Via De Viva, Scottsdale, AZ 85258-4006 | 2020-07-06 |
| 1215565718 | Daniel Austin Huff | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd Apt 1104, Scottsdale, AZ 85259-5452 | 2020-03-30 |
| 1568012573 | Julia Marino | Student in an Organized Health Care Education/Training Program | 6980 E Sahuaro Dr Apt 1059, Scottsdale, AZ 85254-5294 | 2019-09-12 |
| 1033766902 | Kathleen Callahan | Student in an Organized Health Care Education/Training Program | 6844 E Phelps Rd, Scottsdale, AZ 85254-1535 | 2019-08-24 |
| 1275180457 | Nicole M Safer | Student in an Organized Health Care Education/Training Program | 8225 E Rose Ln, Scottsdale, AZ 85250-5848 | 2019-08-21 |
| 1881191559 | Gavin Nixon | Student in an Organized Health Care Education/Training Program | 1301 N Scottsdale Rd Apt 1045, Scottsdale, AZ 85257-3457 | 2018-04-10 |
| 1659876308 | Muneeb Akbar Ilyas | Student in an Organized Health Care Education/Training Program | 1280 N 85th Pl, Scottsdale, AZ 85257-4181 | 2018-03-26 |
| 1245735190 | Hayley Jayne Golek | Student in an Organized Health Care Education/Training Program | 7301 E 2nd St Ste 201, Scottsdale, AZ 85251-5600 | 2018-03-23 |
| 1487186813 | Srishti Nayak | Student in an Organized Health Care Education/Training Program | 12089 E Gail Rd, Scottsdale, AZ 85259-4239 | 2017-04-03 |
| 1104358308 | Joshua Aaron Spiro | Student in an Organized Health Care Education/Training Program | 10012 E Calle De Las Brisas, Scottsdale, AZ 85255-3702 | 2017-03-28 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85259 |
Please comment or provide details below to improve the information on DR. BRADFORD SMITH.
| 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.