Dr. Bradley J Smith, MD
Pediatrics in West Deptford, New Jersey
1104874528- Practice location
- 646 Kings Highway, West Deptford, NJ 08096
- Phone
- 856-879-2887
- Fax
- 856-879-2855
- Last updated
- April 8, 2009
Bradley J Smith is a Pediatrics based in West Deptford, NJ. Bradley J Smith practices in West Deptford, NJ and has the professional credentials of MD. The NPI Number for Bradley J Smith is 1104874528 and holds a License No. 25MA07583100 (NJ). The current practice location address for Bradley J Smith is 646 Kings Highway, West Deptford, NJ 08096 and can be reached out via phone at 856-879-2887 and via fax at 856-879-2855.
Provider Profile Details
- NPI Number
- 1104874528
- Provider Name
- Bradley J Smith
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 646 Kings Highway, West Deptford, NJ 08096
- Phone Number
- 856-879-2887
- Fax Number
- 856-879-2855
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 5, 2006
- Last Update Date
- April 8, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 646 Kings Highway
West Deptford, NJ 08096 - City
- West Deptford
- State
- New Jersey
- Zip
- 08096
- Phone Number
- 856-879-2887
- Fax Number
- 856-879-2855
Provider Business Mailing Address Details
- Address
- 1020 Laurel Oak RD
Suite 201
Voorhees, NJ 08043-3518 - City
- Voorhees
- State
- NJ
- Zip
- 08043-3518
- Phone Number
- 856-782-3300
- Fax Number
- 856-504-8029
License Information
- License Number (1)
- 25MA07583100
- License State (1)
- NJ
- Taxonomy (1)
- Pediatrics · 208000000X · Primary
- License Number (2)
- C10006619
- License State (2)
- DE
- Taxonomy (2)
- Pediatrics · 208000000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near West Deptford, NJ
View all Pediatrics providers in West Deptford →Frequently Asked Questions
What is the NPI number of Dr. Bradley J Smith, MD?
The NPI number of Dr. Bradley J Smith, MD is 1104874528. It was assigned on May 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Bradley J Smith, MD?
Dr. Bradley J Smith, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA07583100.
Where does Dr. Bradley J Smith, MD practice?
The practice location is 646 Kings Highway, West Deptford, NJ 08096. The office can be reached at 856-879-2887 (phone) or 856-879-2855 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104874528 directly on the NPPES registry website.