Individual
DR. BRADFORD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 833-9100
(864) 833-9458
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22455
SC
207R00000X
Internal Medicine Physician
22455
SC
208M00000X
Hospitalist Physician
Primary
22455
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192609
MEDCOST
SC
01
—
20060359
SELECT HEALTH
SC
05
—
89064XU
—
NC
01
—
P01033999
RAILROAD MEDICARE
SC
05
—
T68780
—
SC
Enumeration date
03/08/2006
Last updated
03/15/2021
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