BRYAN WESLEY SMITH M.D.
NPI 1790045094
Pediatrics - Sports Medicine in Columbia, SC

Active since May 21, 2012
1409 DEVINE ST, COLUMBIA, SC 29208(803) 777-2913(803) 777-0126 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bryan Wesley Smith M.d. NPPES

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

BRYAN WESLEY SMITH M.D. (NPI 1790045094) is an individual sports medicine provider in Columbia, South Carolina, licensed in South Carolina (34586) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1790045094
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameBRYAN WESLEY SMITHCredential: M.D.
Location Address1409 DEVINE STColumbia, SC 29208-3902
Mailing Address1409 Devine StColumbia, SC 29208-3902 · (803) 777-2913 · Fax (803) 777-0126
Fax(803) 777-0126
Sole ProprietorNo
Enumeration DateMay 21, 2012
NPI 1790045094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
Licenses Licensed in SC · 34586 Licensed in NC · 39745
Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1409 DEVINE ST, Columbia, SC 29208

Other Identifiers 2

Medicare UPINF54157NC
Medicaid7977421NC

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
1409 DEVINE ST
COLUMBIA, SC 29208
Registered Nurse (College Health)
1409 DEVINE ST
COLUMBIA, SC 29208
Registered Nurse (College Health)
1409 DEVINE ST
COLUMBIA, SC 29208
Registered Nurse (College Health)
1409 DEVINE ST
COLUMBIA, SC 29208
Physical Therapist
1409 DEVINE ST
COLUMBIA, SC 29208
Registered Nurse
1409 DEVINE ST
COLUMBIA, SC 29208
Student in an Organized Health Care Education/Training Program
1409 DEVINE ST, UNIVERSITY OF SOUTH CAROLINA
COLUMBIA, SC 29208
Nurse Practitioner (Family)
1409 DEVINE ST
COLUMBIA, SC 29208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790045094, enumerated as an "individual" on May 21, 2012.

The provider is located at 1409 DEVINE ST COLUMBIA, SC 29208 and the phone number is (803) 777-2913.

Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.