Charles Brooks Smith (NPI# 1790780930, PAC ID# 4385627934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790780930 |
| PAC ID by PECOS | 4385627934 |
| Professional Enrollment ID | I20040612000484 |
| Full Name | Charles Brooks Smith |
| Address |
805 Hill Blvd Suite 104 Granbury TX 76048-6110 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450596 | LAKE GRANBURY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 805 Hill Blvd, Suite 104, Granbury, TX 76048-6110 |
| Street Address |
805 HILL BLVD SUITE 104 |
| City | GRANBURY |
| State | TX |
| Zip | 76048-6110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Lee | Family Medicine | 805 Hill Blvd, Unit 103, Granbury, TX 76048-1482 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth P Brassie | Chiropractic | 1321 Waters Edge Dr, Suite 1003, Granbury, TX 76048-1233 | |
| Donald J Brown | Dermatology | 1321 Waters Edge Dr, Suite 1006, Granbury, TX 76048-1234 | |
| Adrienne Mucha | Nurse Practitioner | Hood Medical Group | 1315 Waters Edge Dr, Suite 101, Granbury, TX 76048-1300 |
| Kelly F Ocarroll | Internal Medicine | Hood Medical Group | 1315 Waters Edge Dr, Suite 101, Granbury, TX 76048-1300 |
| Matthew E Lambert | Psychologist, Clinical | 1315 Waters Edge Dr, 112b Matthew E. Lambert Ph.d., Granbury, TX 76048-1300 | |
| Bradley James Keneson Ii | Pain Management | 806 Old Cleburne Rd, Granbury, TX 76048-1422 | |
| Bruce B Wadley | Optometry | Granbury Eye Care PC | 1101 Waters Edge Dr, Suite 104, Granbury, TX 76048-1474 |
| Darcy A Romine | Chiropractic | 1101 Waters Edge Dr, Suite 100, Granbury, TX 76048-1474 | |
| Timothy E Bowers | Optometry | Granbury Eye Care PC | 1101 Waters Edge Dr, Suite 104, Granbury, TX 76048-1474 |
| Geraldine M Disnard | Nurse Practitioner | 1201 W 2nd St, 105 Medipsych Counseling Associates, Granbury, TX 76048-1490 | |
| Find all physicians in zip 76048 | |||
| City | GRANBURY |
| Zip Code | 76048 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRANBURY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles Brooks 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.