Individual
DR. JEREMY BERNARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-5105
Mailing address
1118 ROSS CLARK CIR, SUITE 700, DOTHAN, AL 36301-3001
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00025532
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
00025532
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51534605
BCBS OF AL
AL
01
—
51534606
BCBS OF AL
AL
01
—
51534607
BCBS OF AL
AL
Enumeration date
01/23/2006
Last updated
09/11/2025
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