BRUCE D SMITH (NPI# 1518047588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518047588 |
| Entity Type | Individual |
| Full Name | BRUCE D SMITH |
| Credential | MD |
| Practice Address |
4017 Rawlins St Cheyenne WY 82001-1800 |
| Mailing Address |
Po Box 20970 Cheyenne WY 82003-7020 |
| Practice Telephone | 3076352562 |
| Practice Fax Number | 3074322676 |
| Mailing Telephone | 3076352562 |
| Mailing Fax Number | 3074322676 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
27005 | IA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
1724 | SD | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
20195 | NE | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
6931A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | RAIL ROAD MEDICARE | P00048676 | 01 |
| WY | 1185322 00 | 05 | |
| WY | BLUE CROSS BLUE SHIELD | 312201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801076898 | Bruce Walter Smith | Family Medicine | Csu Health Network, 8031 Campus Delivery, Fort Collins, CO 80523-8031 | 2007-11-07 |
| 1285768374 | Bruce Eric Smith | Dentist | 5477 N Johnson Rd, Michigan City, IN 46360-9377 | 2007-03-14 |
| 1104980424 | Bruce W Smith | Dentist | 1006 Missouri St, Houston, TX 77006-2840 | 2006-12-21 |
| 1821191859 | Bruce Kendall Smith | Plastic Surgery | 1315 St. Joseph Pkwy, Suite 940, Houston, TX 77002 | 2006-09-06 |
| 1740392232 | Bruce E Smith | Hearing Instrument Specialist | 99 Camp Moween Rd, Lebanon, CT 06249-2704 | 2006-08-31 |
| 1730128844 | Bruce R Smith | Optometrist | 30 1st St Sw, Carmel, IN 46032-2102 | 2006-06-05 |
| 1124065826 | Bruce W Smith | Family Medicine | 42 Asbury St, Patton Park Med.center, S Hamilton, MA 01982-1808 | 2006-06-01 |
| 1255322210 | Bruce Elliot Smith | Dentist | 1077 E Chestnut Ave, Vineland, NJ 08360-5840 | 2005-10-31 |
| 1194716084 | Bruce T. Smith | Psychiatry & Neurology | 111 N Last Chance Gulch St, Helena, MT 59601-4144 | 2005-10-31 |
| 1417942871 | Bruce Stewart Smith | Dentist | 21216 Northwest Fwy Ste 370, Cypress, TX 77429-4696 | 2005-09-13 |
| Street Address |
4017 RAWLINS ST |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922612 | John E Winter II | Orthopaedic Surgery | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2005-09-13 |
| 1548811102 | Anton Schabauer | Physical Therapy Assistant | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2019-09-25 |
| 1801343280 | Isaac Butler | Physical Therapist | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2016-09-02 |
| 1205245925 | Cheryl Lavoy | Physical Therapist | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2014-08-06 |
| 1700295490 | Shelly Watkins | Occupational Therapist | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2014-08-06 |
| 1619386323 | Kathleen Krempels | Physical Therapy Assistant | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2014-08-06 |
| 1568871465 | Quinn Carroll | Physical Therapist | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2014-08-05 |
| 1184033086 | Amber Carroll | Physical Therapist | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2014-08-05 |
| 1922410430 | Jonathan Knott | Orthopaedic Surgery | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2014-06-02 |
| 1144657073 | Ryan Garber | Physical Therapy Assistant | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2013-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972701381 | Wyoming Orthopedic and Sports Medicine, LLC | Orthopaedic Surgery | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982645636 | Peter E Bergquist | Orthopaedic Surgery | 6600 E 2nd Street, Casper, WY 82609-4348 | 2006-06-10 |
| 1568667145 | Jared T Lee | Orthopaedic Surgery | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2007-06-15 |
| 1184638165 | Larry Vengenderen | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070 | 2006-07-28 |
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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.