Bruce C Smith (NPI# 1962400648, PAC ID# 7719959667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1962400648 |
| PAC ID by PECOS | 7719959667 |
| Professional Enrollment ID | I20040811000032 |
| Full Name | Bruce C Smith |
| Address |
308 S Washington St Clinton KY 42031-1347 |
| Phone Number | 2706530220 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180116 | JACKSON PURCHASE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 308 S Washington St, Clinton, KY 42031-1347 | 2706530220 | |
| 308 S Washington St, Suite 200, Clinton, KY 42031-1347 | 2706530220 |
| Street Address |
308 S WASHINGTON ST |
| City | CLINTON |
| State | KY |
| Zip | 42031-1347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Ann Acosta | Nurse Practitioner | Medoptions of Kentucky LLC | 106 Padgett Dr, Clinton, KY 42031-1313 |
| Amy M Turner | Nurse Practitioner | Pinelake Physician Practice LLC | 106 W Clay St, Clinton, KY 42031-1317 |
| Stephannie Goodrum | Nurse Practitioner | Pinelake Physician Practice LLC | 106 W Clay St, Clinton, KY 42031-1317 |
| City | CLINTON |
| Zip Code | 42031 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CLINTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Bruce C 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.