BRENNEN D SMITH DO
NPI 1376753277
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Breckenridge, MN

Q: What is Brennen Smith's NPI number?

The NPI number for Brennen Smith is 1376753277. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Brennen Smith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Brennen Smith was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment

2400 ST FRANCIS DR, BRECKENRIDGE, MN 56520(218) 643-3000(218) 643-0850 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 2, 2019, Dec 21, 2018 (2 updates tracked since 2018).

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About Brennen D Smith Do NPPES

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

BRENNEN D SMITH DO (NPI 1376753277) is an individual orthopaedic surgery of the spine provider in Breckenridge, Minnesota, licensed in Minnesota (61204) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health Williston, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2006).

NPPES Registry Identity

NPI1376753277

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameBRENNEN D SMITHCredential: DO

Location Address2400 ST FRANCIS DRBreckenridge, MN 56520-1025

Mailing Address4784 Amber Valley Pkwy S, Chi Provider Enrollment - Fargo DivisonFargo, ND 58104-8614 · (701) 237-8072 · Fax (937) 599-1730

Phone(218) 643-3000

Fax(218) 643-0850

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2006

Enumeration DateMay 22, 2007

Last NPPES UpdateOctober 2, 20192 updates tracked since enumeration

✔ NPI 1376753277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Licenses✔ Licensed in MN · 61204✔ Licensed in OH · 34.010178

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 15379 (ND)

2400 ST FRANCIS DR, Breckenridge, MN 56520

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Other Identifiers 4

Medicaid1471472ND

Medicaid3810022462WV

Medicaid3158630OH

Other000000480404OH · Oh Medicaid Unison

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brennen D Smith Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749467280

PECOS Enrollment IDI20190305001489

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND

OwnershipVoluntary non-profit - Church

CMS Certification Number351334

Location1301 15th Ave WWilliston, ND 58801 · Williams County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

ST FRANCIS MEDICAL CENTER

General Acute Care Hospital (Critical Access)