DR. CHARLES BROOKS SMITH (NPI# 1790780930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790780930 |
| Entity Type | Individual |
| Full Name | DR. CHARLES BROOKS SMITH |
| Other Name | DR. C BROOKS SMITH |
| Credential | M.D. |
| Practice Address |
805 Hill Blvd Unit 104 Granbury TX 76048-1482 |
| Mailing Address |
1204 Medical Plaza Ct Granbury TX 76048-5653 |
| Practice Telephone | 8175735688 |
| Practice Fax Number | 8175735760 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J9921 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112575 | Charles David Smith | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street; Hsb Room B 241, Seattle, WA 98195-0001 | 2020-04-03 |
| 1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
| 1912563404 | Charles W Smith | Physical Therapist | 230 Holland Rd, Holland, PA 18966-1702 | 2019-05-10 |
| 1528527520 | Charles E Smith | Physical Therapist | 4048 Cedar Bluff Dr Ste 2, Petoskey, MI 49770-8895 | 2019-03-19 |
| 1700360708 | Charles Steven Smith | Social Worker | 117 Huxley Rd Ste B3, Knoxville, TN 37922-3179 | 2018-09-17 |
| 1437651452 | Charles Anthony Smith | Behavior Technician | 8021 36th Ave N, St Petersburg, FL 33710-1011 | 2018-03-06 |
| 1023523743 | Charles Smith IIi | Orthotic Fitter | 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 | 2017-12-04 |
| 1588189765 | Charles Russell Smith Jr. | Counselor | 152 Dunn Rd, Ashburnham, MA 01430-3043 | 2017-08-08 |
| 1982145090 | Charles Kershaw Smith | Pharmacist | 803 Brantenburg Way, Lutz, FL 33548-7934 | 2017-03-09 |
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| Street Address |
805 HILL BLVD UNIT 104 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76048-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370381 | Bethany Lyn Dempsey | Physician Assistant | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2020-06-16 |
| 1265057632 | Justin Burns | Physician Assistant | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2020-06-11 |
| 1437627221 | Brooke Ann Grawet | Family Medicine | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2018-11-09 |
| 1861922676 | Ashleigh Carol Robertson | Nurse Practitioner | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2017-06-14 |
| 1740502608 | Michelle Yvonne Singh | Physician Assistant | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2010-02-19 |
| 1558459297 | C. Brooks Smith M.d. & Associates | Family Medicine | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213415 | Tena Lee Wood I | Licensed Practical Nurse | 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 | 2019-12-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1477000974 | Globalrehab - Fort Worth, Lp | Rehabilitation Hospital | 805 Hill Blve, Ste 109, Granbury, TX 76048 | 2016-09-01 |
| 1780130245 | Rachel Diane Rouse | Counselor | 1903 W Pearl Street, Granbury, TX 76048 | 2016-08-25 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1407261233 | Rogers King Coleman | General Practice | 1411 Crawford Street, Granbury, TX 76048 | 2014-07-01 |
| 1891115176 | Trinity Nursing and Rehabilitation of Granbury, Lp | Skilled Nursing Facility | 600 Reunion Court, Granbury, TX 76048 | 2014-04-24 |
| 1639507122 | Kayelen Helton | Counselor | 807 Paluxy Road, Granbury, TX 76048 | 2013-10-22 |
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1114240223 | Talbot Green Mccormick Jr. | General Practice | 2306 Cologne Dr., Granbury, TX 76048 | 2010-03-03 |
| Find all providers in zip 76048 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265576516 | Darren Keith George | Family Medicine | 2003 Rockview Drive, Granbury, TX 76049 | 2007-02-19 |
| 1629163829 | Pat A. Thomas | Family Medicine | 701 Paluxy Rd, Granbury, TX 76048-2355 | 2006-10-04 |
| 1366537482 | Robert Louis Lee | Family Medicine | 805 Hill Blvd, Ste 103, Granbury, TX 76048-1482 | 2006-10-04 |
| 1346298031 | Bruce D Carpenter | Family Medicine | 2800 Village Rd, 108, Granbury, TX 76049-4193 | 2006-05-04 |
| 1295700300 | Paul S Bishop | Family Medicine | 2006 Fall Creek Hwy, Granbury, TX 76049-7913 | 2006-02-22 |
| 1073591848 | Tony Gene Hedges | Family Medicine | 601 Fall Creek Hwy, Granbury, TX 76049-7960 | 2006-01-03 |
| 1588656409 | Nance D Hicks | Family Medicine | 1220 Paluxy Medical Cir, Granbury, TX 76048-7901 | 2005-08-17 |
| 1437627221 | Brooke Ann Grawet | Family Medicine | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2018-11-09 |
| 1790118115 | Maria Edna Landero | Family Medicine | 601 Fall Creek Hwy, Granbury, TX 76049-7960 | 2013-08-21 |
| 1336457696 | Pat A. Thomas, D.o., P.a. | Family Medicine | 701 Paluxy Rd, Granbury, TX 76048-2355 | 2010-09-21 |
| Find all providers in GRANBURY | ||||
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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.