# BRETT R SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912987306
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 30241 | AZ | — |
| 207X00000X | Orthopaedic Surgery Physician | MD073529L | PA | — |
| 207X00000X | Orthopaedic Surgery Physician | ME105667 | FL | Yes |

## Other

- **Enumeration date:** 01/20/2006
- **Last updated:** 11/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001853100 | — | FL |
| 05 | — | 1017642910001 | — | PA |
| 05 | — | 114534 | — | AL |
| 05 | — | 115066 | — | AL |
| 01 | — | 146QJ | BLUE CROSS BLUE SHIELD | FL |
| 05 | — | 2698586 | — | OH |
| 05 | — | 3810008259 | — | WV |
| 01 | — | 592-09123 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 592-09139 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 7998568 | AETNA | — |
| 05 | — | 881244 | — | AZ |
| 01 | — | P00807016 | MEDICARE RAILROAD | — |