Individual
DR. MAURICE BRADLEY SMITH
Active
Individual
DR. MAURICE BRADLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.,L.P.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0783
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP0783
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092353200
—
MN
01
—
27F90SM
BLUE CROSS/BLUE SHIELD
MN
01
—
6150656
MEDICA/UNITED BEH. HEALTH
MN
01
—
680016304
RAIL ROAD MEDICARE
MN
01
—
HP21325
HEALTH PARTNERS INSURANCE
MN
Enumeration date
10/04/2006
Last updated
02/06/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up