BRADLEY W. SMITH, D.O., PLLC
NPI 1780704924
Family Medicine - Sleep Medicine in Pueblo, CO

Active since March 30, 2007
44 BRIARGATE TER, PUEBLO, CO 81001(719) 546-6300(719) 546-6111 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bradley W. Smith, D.o., Pllc NPPES

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

BRADLEY W. SMITH, D.O., PLLC (NPI 1780704924) is a healthcare organization registered as a sleep medicine in Pueblo, Colorado and active in the NPI registry since March 2007. The organization lists Bradley Wayne Smith, President, as its authorized official.

NPPES Registry Identity

NPI1780704924
Entity TypeOrganization
Primary Taxonomy207QS1201X
Legal Business NameBRADLEY W. SMITH, D.O., PLLC
Location Address44 BRIARGATE TERPueblo, CO 81001-1743
Mailing Address44 Briargate TerPueblo, CO 81001-1743 · (719) 546-6300 · Fax (719) 546-6111
Fax(719) 546-6111
Organization SubpartNo
Authorized OfficialBradley Wayne SmithPresident · (719) 546-6300
Enumeration DateMarch 30, 2007
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1780704924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
44 BRIARGATE TER, Pueblo, CO 81001

Other Identifiers 2

OtherP00392252CO · Railroad Medicare
Medicaid21159335CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley W. Smith, D.o., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20070509000323Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bradley W. Smith, D.O., PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1336191915
44 BRIARGATE TER
Pueblo, CO 81001
(719) 546-6300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518191014
1595 GRAND AVE STE 100
San Marcos, CA 92078
(760) 306-1900
✔ PECOS793 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 W. Smith, D.O., PLLC's NPI number?

The NPI number for Bradley W. Smith, D.O., PLLC is 1780704924. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Bradley W. Smith, D.O., PLLC located?

Bradley W. Smith, D.O., PLLC is located at 44 Briargate Ter, Pueblo, CO 81001. The listed phone number is (719) 546-6300.

What is Bradley W. Smith, D.O., PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Bradley W. Smith, D.O., PLLC enrolled in Medicare?

Yes. Bradley W. Smith, D.O., PLLC is registered in the Medicare PECOS enrollment system.

When is Bradley W. Smith, D.O., PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bradley W. Smith, D.O., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bradley W. Smith, D.O., PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bradley W. Smith, D.O., PLLC was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.