Brodrick D Smith (NPI# 1154716769, PAC ID# 3173837770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154716769 |
| PAC ID by PECOS | 3173837770 |
| Professional Enrollment ID | I20150727001177 |
| Full Name | Brodrick D Smith |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Address |
301 E Jackson St Dillon SC 29536-2509 |
| Phone Number | 8433675690 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193620714 |
| Number of Group Practice Members | 172 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420005 | MCLEOD MEDICAL CENTER - DILLON |
| Address | Phone | Organization |
|---|---|---|
| 301 E Jackson St, Dillon, SC 29536-2509 | 8433675690 | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Pena | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 806 Hwy 17 S, North Myrtle Beach, SC 29582-3429 |
| Carey Christiansen Ford | Family Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
| Peter K Brady | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 349 Tidewatch Dr, Bluffton, SC 29910-9321 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Arash Albekord | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 10 E Hospital St, Manning, SC 29102-3153 |
| Angela Penix | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Bettie S Stem | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Tiffany D Jackson | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Kenneth L Grotz | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Reda Saadal Hallaba | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Street Address |
301 E JACKSON ST |
| City | DILLON |
| State | SC |
| Zip | 29536-2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin T Mitchell Iii | Family Medicine | Mcleod Medical Center-dillon | 301 E Jackson St, Dillon, SC 29536-2509 |
| Kezia A Nixon | Nurse Practitioner | E Jackson St Emergency Physicians LLC | 301 E Jackson St, Dillon, SC 29536-2509 |
| Lionel D Rajotte Jr. | Certified Registered Nurse Anesthetist (crna) | Mcleod Medical Center-dillon | 301 E Jackson St, Dillon, SC 29536-2509 |
| James Wallace | Internal Medicine | Mcleod Medical Center-dillon | 301 E Jackson St, Dillon, SC 29536-2509 |
| Jarett R Taylor | Certified Registered Nurse Anesthetist (crna) | Mcleod Medical Center-dillon | 301 E Jackson St, Dillon, SC 29536-2509 |
| William Mccall Goldstein | Internal Medicine | Mcleod Medical Center-dillon | 301 E Jackson St, Dillon, SC 29536-2509 |
| Rudolf J Jokl | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 301 E Jackson St, Dillon, SC 29536-2509 |
| Sherika T Stuckey | Nurse Practitioner | E Jackson St Emergency Physicians LLC | 301 E Jackson St, Dillon, SC 29536-2509 |
| Alto B Odin Jr. | Internal Medicine | Mcleod Medical Center-dillon | 301 E Jackson St, Dillon, SC 29536-2509 |
| Amid Hamidi | Family Medicine | Acs Primary Care Physicians - Southeast PC | 301 E Jackson St, Dillon, SC 29536-2509 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John K Stanton Jr. | Chiropractic | 1639 Hwy 301 N, Dillon, SC 29536-1945 | |
| Stephen G Vance | Family Medicine | Dillon Family Medicine, P.a. | 603 N 6th Ave, Dillon, SC 29536-2503 |
| Robin C Shealy | Family Medicine | Dillon Family Medicine, P.a. | 603 N 6th Ave, Dillon, SC 29536-2503 |
| Nardin H Khalil | Family Medicine | Dillon Family Medicine, P.a. | 603 N 6th Ave, Dillon, SC 29536-2503 |
| Timothy A Fitzgibbon | Family Medicine | Dillon Family Medicine, P.a. | 603 N 6th Ave, Dillon, SC 29536-2503 |
| Michael N Brown | Family Medicine | Dillon Family Medicine, P.a. | 603 N 6th Ave, Dillon, SC 29536-2503 |
| Paul D Freel | Family Medicine | Dillon Family Medicine, P.a. | 603 N 6th Ave, Dillon, SC 29536-2503 |
| Linda S Adams | Nurse Practitioner | Mcleod Medical Center-dillon | 301 E Jackson St, Dillon, SC 29536-2509 |
| Roger Roff | Chiropractic | Roff and Schilsky Chiropractic Center, Pa | 200 E Roosevelt St, Dillon, SC 29536-2516 |
| Suezen Schilsky | Chiropractic | Roff and Schilsky Chiropractic Center, Pa | 200 E Roosevelt St, Dillon, SC 29536-2516 |
| Find all physicians in zip 29536 | |||
| City | DILLON |
| Zip Code | 29536 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DILLON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brodrick D Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.