Individual
DR. BRYAN SCOTT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1619
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6076
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27607
OK
2085R0202X
Diagnostic Radiology Physician
MD437673
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200282660A
—
OK
01
—
P00880580
RR MEDICARE
—
Enumeration date
07/09/2009
Last updated
11/10/2025
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