BRUCE SYLVESTER SMITH M.D.
NPI 1063437150
Obstetrics & Gynecology in Streator, IL

Active since July 12, 2006
104 W 6TH ST, STE 206, STREATOR, IL 61364(815) 672-1610(815) 672-1615 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bruce Sylvester Smith M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE SYLVESTER SMITH M.D. (NPI 1063437150) is an individual obstetrics & gynecology provider in Streator, Illinois, licensed in Illinois (36093924) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1063437150
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRUCE SYLVESTER SMITHCredential: M.D.
Location Address104 W 6TH ST, STE 206Streator, IL 61364-2899
Mailing Address104 W 6th St, Ste 206Streator, IL 61364-2899 · (815) 672-1610 · Fax (815) 672-1615
Fax(815) 672-1615
Sole ProprietorYes
Enumeration DateJuly 12, 2006
Last NPPES UpdateSeptember 30, 2009
NPI 1063437150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 36093924
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

104 W 6TH ST, Streator, IL 61364

Other Identifiers 3

Medicare UPING84960
Medicaid36093924IL
Medicare ID-Type Unspecified213399

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
104 W 6TH ST
STREATOR, IL 61364
Pediatrics
104 W 6TH ST, SUITE 303
STREATOR, IL 61364
Orthopaedic Surgery
104 W 6TH ST
STREATOR, IL 61364
Orthopaedic Surgery
104 W 6TH ST
STREATOR, IL 61364
Obstetrics & Gynecology
104 W 6TH ST, SUITE 300
STREATOR, IL 61364
Specialist
104 W 6TH ST, SUITE 206
STREATOR, IL 61364
Surgery
104 W 6TH ST, SUITE 204
STREATOR, IL 61364
Obstetrics & Gynecology (Hospice and Palliative Medicine)
104 W 6TH ST
STREATOR, IL 61364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Smith's NPI number?

The NPI number for Bruce Smith is 1063437150. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Bruce Smith located?

Bruce Smith practices at 104 W 6th St Ste 206, Streator, IL 61364. The listed phone number is (815) 672-1610.

What is Bruce Smith's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Bruce Smith was last updated on September 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.