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DR. BRIAN ROY SMITH DDS
NPI 1639191182
Dentist - Oral and Maxillofacial Surgery in Shreveport, LA

Active since July 24, 2006PECOS Enrolled
2125 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105(318) 797-5812(318) 797-0390 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Roy Smith Dds NPPES

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

DR. BRIAN ROY SMITH DDS (NPI 1639191182) is an individual oral and maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (4752) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639191182
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRIAN ROY SMITHCredential: DDS
Location Address2125 E BERT KOUNS INDUSTRIAL LOOPShreveport, LA 71105-5314
Mailing Address2125 E Bert Kouns Industrial LoopShreveport, LA 71105-5314 · (318) 797-5812 · Fax (318) 797-0390
Phone(318) 797-5812
Fax(318) 797-0390
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639191182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in LA · 4752
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2125 E BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71105
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Other Identifiers 5

MedicaidT8B090451TX
Medicare UPINT93231LA
OtherC9163LA · Blue Cross/blue Shield
Medicare ID-Type Unspecified5T016CG52LA
Medicaid1847526LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Roy Smith Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

CANDER CHANCE APRN
Nurse Practitioner (Family)
2125 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105
Caddo Parish (318) 324-7071
DR. JODY DALE CHANCE MD
Family Medicine
2125 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105
Caddo Parish (318) 401-1766

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 Brian Smith's NPI number?

The NPI number for Brian Smith is 1639191182. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Brian Smith located?

Brian Smith practices at 2125 E Bert Kouns Industrial Loop, Shreveport, LA 71105. The listed phone number is (318) 797-5812.

What is Brian Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Brian Smith enrolled in Medicare?

Yes. Brian Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.