BRYAN WESLEY SMITH (NPI# 1790045094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790045094 |
Entity Type | Individual |
Full Name | BRYAN WESLEY SMITH |
Credential | M.D. |
Practice Address |
1409 Devine St Columbia SC 29208-3902 |
Practice Telephone | 8037772913 |
Practice Fax Number | 8037770126 |
Mailing Telephone | 8037772913 |
Mailing Fax Number | 8037770126 |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-05-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
39745 | NC | Allopathic & Osteopathic Physicians |
Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
34586 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7977421 | 05 |
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 |
1409 DEVINE ST |
City | COLUMBIA |
State | SC |
Zip Code | 29208-3902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124008867 | Charles Middleton Mckenzie Jr. | Pediatrics | 1409 Devine St, Columbia, SC 29208-0001 | 2006-01-19 |
1982252565 | Sabrina Johnson | Counselor | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-28 |
1831747351 | Talisha L Telsee | Counselor | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-28 |
1811545601 | Angela L Harrington | Psychologist | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-27 |
1679120117 | Tiffany Howard | Counselor | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-20 |
1194372656 | Susan Collins | Psychologist | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-20 |
1437614039 | Misty Bell Dix | Physical Therapist | 1409 Devine St, Columbia, SC 29208-3902 | 2019-02-07 |
1689159642 | Jordan Celest Cooler | Pharmacist | 1409 Devine St, Columbia, SC 29208-3902 | 2018-09-26 |
1487165205 | Margaret Coughlin | Specialist/Technologist | 1409 Devine St, Columbia, SC 29208-2139 | 2017-10-19 |
1679006118 | Corey Ingram | Social Worker | 1409 Devine St, Columbia, SC 29208-3902 | 2017-04-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306409834 | Nathan Orth | Specialist/Technologist | 1304 Heyward St, Columbia, SC 29208 | 2019-04-19 |
1710434253 | Talley Young | Specialist/Technologist | 1300 Wheat Street, Columbia, SC 29208 | 2016-09-01 |
1720368871 | Anwar Merchant | Student in an Organized Health Care Education/Training Program | 800 Sumter Street, Department of Epidemiology and Biostatistics, Columbia, SC 29208 | 2011-08-22 |
1730202805 | Cynthia Mcintyre Thompson | Registered Nurse | 1409 Devine Street, University of Sc Thomason Student Health Center, Columbia, SC 29208 | 2007-04-06 |
1841837481 | Stephanie Jo Beeler | Registered Nurse | 1601 Greene St, Columbia, SC 29208 | 2019-12-02 |
1003161696 | Toni Marie Torres-mcgehee | Specialist/Technologist | 1300 Wheat St, Blatt Pe Center 218, Columbia, SC 29208 | 2012-07-19 |
1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
1235764580 | Cheedy Jaja | Registered Nurse | College of Nursing 1601 Greene Street, Columbia, SC 29208-0001 | 2020-03-06 |
1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
Find all providers in zip 29208 |
Taxonomy Code | 2080S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Sports Medicine |
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
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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.