BREA TRINITY SMITH PNP
NPI 1891156352
Nurse Practitioner - Pediatrics in San Bernardino, CA

Q: What is Brea Smith's NPI number?

The NPI number for Brea Smith is 1891156352. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Q: What is Brea Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Brea Smith was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 11, 2016PECOS Enrolled

700 E GILBERT ST, SAN BERNARDINO, CA 92415(909) 382-3535(909) 383-3830 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brea Trinity Smith Pnp NPPES

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

BREA TRINITY SMITH PNP (NPI 1891156352) is an individual pediatrics provider in San Bernardino, California, licensed in California (761340) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891156352

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBREA TRINITY SMITHCredential: PNP

Location Address700 E GILBERT STSan Bernardino, CA 92415-1003

Mailing Address11234 Anderson St, Room 6700 HLoma Linda, CA 92354-2804 · (909) 558-8514 · Fax (909) 558-7873

Phone(909) 382-3535

Fax(909) 383-3830

Sole ProprietorNo

Enumeration DateMarch 11, 2016

✔ NPI 1891156352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 761340

700 E GILBERT ST, San Bernardino, CA 92415

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brea Trinity Smith Pnp 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 92415 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

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 18

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

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