BRADLEY SMITH
NPI 1699208876
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST, 9C-UHC, DETROIT, MI 48201(313) 745-5146 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Smith NPPES

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

BRADLEY SMITH (NPI 1699208876) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1699208876
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRADLEY SMITH
Location Address4201 SAINT ANTOINE ST, 9C-UHCDetroit, MI 48201-2153
Mailing Address1925 Harwood AveRoyal Oak, MI 48067-4067
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateApril 5, 2017
Last NPPES UpdateFebruary 11, 2022
NPI 1699208876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST, Detroit, MI 48201

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

Bradley Smith 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 ID7315215076
PECOS Enrollment IDI20210413001845
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services24 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

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.

Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201

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 Bradley Smith's NPI number?

The NPI number for Bradley Smith is 1699208876. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Bradley Smith located?

Bradley Smith practices at 4201 Saint Antoine St 9c-Uhc, Detroit, MI 48201. The listed phone number is (313) 745-5146.

What is Bradley Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bradley Smith enrolled in Medicare?

Yes. Bradley Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bradley Smith was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.