MR. BRYAN J SMITH (NPI# 1629305636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629305636 |
| Entity Type | Individual |
| Full Name | MR. BRYAN J SMITH |
| Credential | ATC |
| Practice Address |
601 E 14th St Sedalia MO 65301-5972 |
| Mailing Address |
2498 Stacey Ln Sedalia MO 65301-6899 |
| Practice Telephone | 6602871225 |
| Practice Fax Number | 6608290278 |
| Mailing Telephone | 7852507597 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
050802230 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538723671 | Bryan Smith | Counselor | 3203 Pine Valley Way, East Stroudsburg, PA 18302-6706 | 2019-04-24 |
| 1073802997 | Bryan William Smith | Counselor | 1930 Dowling St., Kendallville, IN 46755 | 2011-03-31 |
| 1548243199 | Bryan David Smith | Urology | 825 Se Bishop Blvd Ste 101, Pullman, WA 99163-5517 | 2005-11-28 |
| 1306834015 | Bryan E Smith | Clinical Neuropsychologist | 5411 Plaza Dr, Suite E, Texarkana, TX 75503-1666 | 2005-10-07 |
| 1558988097 | Bryan James Smith | Behavior Technician | 3781 Bayley Dr Ste B, Lafayette, IN 47905-8657 | 2020-07-01 |
| 1629691357 | Bryan A Smith | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-28 |
| 1639716657 | Bryan Gregory Smith | Pharmacist | 1920 Washburn Way, Klamath Falls, OR 97603-4595 | 2019-12-09 |
| 1588138259 | Bryan D Smith | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2019-01-16 |
| 1780152256 | Bryan Taylor Smith | Physical Therapist | 455 Philip Blvd Bldg 100-160, Lawrenceville, GA 30046-8767 | 2018-11-02 |
| 1184169617 | Bryan Smith | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2016-12-19 |
| Street Address |
601 E 14TH ST |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457349755 | William E Decker | Radiology | 601 E 14th St, Sedalia, MO 65301-5972 | 2005-10-11 |
| 1225660228 | Jennifer Gamber | Nurse Practitioner | 601 E 14th St, Sedalia, MO 65301-5972 | 2020-02-07 |
| 1679113153 | Janice Renee Johnson | Registered Nurse | 601 E 14th St, Sedalia, MO 65301-5972 | 2020-01-13 |
| 1962900944 | Centennial Emergency Physicians LLC | Emergency Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2018-01-25 |
| 1730687716 | Missouri Em-i Medical Services PC | Physician Assistant | 601 E 14th St, Sedalia, MO 65301-5972 | 2018-01-25 |
| 1598280166 | Bart D Kuhns | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2017-08-04 |
| 1477089753 | Andre Taylor | Preventive Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2017-05-05 |
| 1962856963 | Traci Marie Kristofik | Internal Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-04-16 |
| 1003278276 | Janet S Chance-hetzler | Clinical Nurse Specialist | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-03-25 |
| 1396129722 | Chase Belnap | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2015-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1093202715 | Alexandra Elizabeth Bankovich | Specialist/Technologist | 3875 Highway Y, Sedalia, MO 65301-0548 | 2018-04-18 |
| 1710531058 | Katie Caroline Cothern | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301-5708 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
| 1306464011 | Dustin Flynn | Specialist/Technologist | 541 Huntley Heights Dr, Ballwin, MO 63021-5884 | 2020-07-09 |
| 1851916878 | Olivia Marie Bogolin | Specialist/Technologist | 111 Timber Trace Xing, Wentzville, MO 63385-2124 | 2020-06-15 |
| 1417571464 | Jessica Burgason | Specialist/Technologist | 24173 State Highway F, Kirksville, MO 63501-8009 | 2020-06-05 |
| 1225651664 | Ashley Marie Garlock | Specialist/Technologist | 1308 S Halliburton St, Kirksville, MO 63501-4456 | 2020-05-20 |
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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.