DR. BRUCE C SMITH (NPI# 1962400648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962400648 |
| Entity Type | Individual |
| Full Name | DR. BRUCE C SMITH |
| Credential | M.D. |
| Practice Address |
423 W Clay St Clinton KY 42031-1305 |
| Practice Telephone | 2706530220 |
| Practice Fax Number | 2706530221 |
| Mailing Telephone | 2706530220 |
| Mailing Fax Number | 2706530221 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17274 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64172745 | 05 | |
| KY | ANTHEM | 000000333811 | 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 |
423 W CLAY ST |
| City | CLINTON |
| State | KY |
| Zip Code | 42031-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780102301 | Communtiy Healthcare of Western Kentucky LLC | Clinic/Center | 308 South Washington Street Suite 200, Clinton, KY 42031 | 2017-09-04 |
| 1053569442 | Hickman County High School Clinic | Public Health or Welfare | 301 East Cresap Street, Clinton, KY 42031 | 2008-08-28 |
| 1437186657 | Purchase District Health Dept | Public Health or Welfare | 370 S Washington Street, Clinton, KY 42031 | 2006-06-26 |
| 1104800101 | Arbor Place of Clinton | Skilled Nursing Facility | 106 Padgett Drive, Clinton, KY 42031 | 2005-12-02 |
| 1902954118 | Clinton-hickman County Ambulance Service Inc | Ambulance | 324 James H Phillips Dr, Clinton, KY 42031-0083 | 2007-01-07 |
| 1568902427 | Clinton Pharmacy LLC | Pharmacy | 119 E Clay St, Clinton, KY 42031-1222 | 2017-02-26 |
| 1932131356 | Byassee Drug Company Inc | Durable Medical Equipment & Medical Supplies | 107 E Clay St, Clinton, KY 42031-1222 | 2006-07-07 |
| 1174087647 | Clinton Pharmacy LLC | Pharmacy | 119 E Clay St, Clinton, KY 42031-1222 | 2019-01-29 |
| 1205048873 | John Garland Byassee | Pharmacist | 107 E Clay St, Clinton, KY 42031-1222 | 2007-05-04 |
| 1275617755 | Perkins Pharmacy | Durable Medical Equipment & Medical Supplies | 119 E Clay St, Clinton, KY 42031-1222 | 2006-10-24 |
| Find all providers in zip 42031 | ||||
| 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 |
|---|---|---|---|---|
| 1689217978 | Springridge Medical Clinic | Family Medicine | 507 Springridge Rd Ste A, Clinton, MS 39056-5628 | 2019-10-20 |
| 1578125837 | Dana Fuller | Family Medicine | 600 Plaza Cir, Clinton, SC 29325-7555 | 2019-07-07 |
| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
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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.