DR. RONALD DAVID SMITH M.D.
NPI 1881642999
Pediatrics - Pediatric Emergency Medicine in Bristol, CT

Active since May 04, 2006PECOS Enrolled
574 WILLIS ST, BRISTOL, CT 06010(959) 217-1500(959) 217-1500 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ronald David Smith M.d. NPPES

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

DR. RONALD DAVID SMITH M.D. (NPI 1881642999) is an individual pediatric emergency medicine provider in Bristol, Connecticut, licensed in Louisiana (202000) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881642999
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. RONALD DAVID SMITHCredential: M.D.
Location Address574 WILLIS STBristol, CT 06010-7267
Mailing Address574 Willis StBristol, CT 06010-7267 · (959) 217-1500 · Fax (959) 217-1500
Fax(959) 217-1500
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
NPI 1881642999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses Licensed in LA · 202000 Licensed in NC · 200100466
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 5689 (SD), 11778 (NV), 200100466 (NC), 202000 (LA)
574 WILLIS ST, Bristol, CT 06010

Other Identifiers 18

Medicaid100447610AKS
Medicaid158971501TX
MedicaidQ0046DSC
Medicaid05058544MS
Medicaid8891206NJ
Medicaid006738460VI
Medicaid401844300MD
Medicaid702276AZ
Medicaid000958361XGA
Medicaid1140937LA
Medicaid02258588NY
Medicaid2115124OH
Medicaid009973360AL
Medicaid100509717NV
Medicaid200479090IN
Medicaid64041510KY
Medicaid200005950AOK
Medicaid89128HVNC

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. Ronald David Smith M.d. 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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
574 WILLIS ST
BRISTOL, CT 06010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881642999, enumerated as an "individual" on May 04, 2006.

The provider is located at 574 WILLIS ST BRISTOL, CT 06010 and the phone number is (959) 217-1500.

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

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