Individual
BRADLEY TODD SMITH
Active
Individual
BRADLEY TODD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200000314
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1364X
BCBSNC
NC
01
—
7040139
CIGNA HEALTHCARE
NC
01
—
D4898
MEDCOST
NC
01
—
P00174692
RAILROAD MEDICARE
NC
Enumeration date
09/09/2005
Last updated
02/17/2022
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