BRYAN WESLEY SMITH


Address: 1409 Devine St, Columbia, SC 29208-3902
Phone: 8037772913

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 7977421 05

Other Providers BRYAN SMITH

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1538723671 Bryan Smith Counselor 3203 Pine Valley Way, East Stroudsburg, PA 18302-6706 2019-04-24
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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

Office Location

Street Address 1409 DEVINE ST
City COLUMBIA
State SC
Zip Code 29208-3902

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 2080S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Sports Medicine

Taxonomy Definition

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.

Competitor

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City COLUMBIA
Zip Code 29208

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Dataset Information

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.

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