BRUCE SYLVESTER SMITH M.D.
NPI 1063437150
Obstetrics & Gynecology in Streator, IL

NPI Status: Active since July 12, 2006

Contact Information

104 W 6TH ST
STE 206
STREATOR, IL
ZIP 61364
Phone: (815) 672-1610
Fax: (815) 672-1615

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  • Individual
  • Male
  • Obstetrics & Gynecology

About BRUCE SMITH

This page provides the complete NPI Profile along with additional information for Bruce Smith, a women's health care provider established in Streator, Illinois with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1063437150 assigned on July 2006. The practitioner's primary taxonomy code is 207V00000X with license number 36093924 (IL). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1063437150
Provider Name
BRUCE SYLVESTER SMITH M.D.
Gender
Male
Entity Type
Individual
Location Address
104 W 6TH ST STE 206 STREATOR, IL 61364
Location Phone
(815) 672-1610
Location Fax
(815) 672-1615
Mailing Address
104 W 6TH ST STE 206 STREATOR, IL 61364
Mailing Phone
(815) 672-1610
Mailing Fax
(815) 672-1615
Is Sole Proprietor?
Yes
Enumeration Date
07-12-2006
Last Update Date
09-30-2009
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Women's health care providers like Bruce Smith treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
36093924
License State
IL
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G84960MEDICARE UPIN (02) 
36093924MEDICAID (05)IL 
213399MEDICARE ID-TYPE UNSPECIFIED (04) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063437150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201238314110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 8 + 3 + 1 + 4 + 1 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063437150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023081882 SHIN JOH M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)104 W 6TH ST
STREATOR, IL 61364
(815) 673-5533
1548291057DR. CHAO-MING CHEN M.C.
Individual
Obstetrics & Gynecology104 W 6TH ST SUITE 300
STREATOR, IL 61364
(815) 673-4363
1659586279CARL P MATTIODA MD AND CHAOMING CHEN MDSC
Organization
Obstetrics & Gynecology (Hospice and Palliative Medicine)104 W 6TH ST
STREATOR, IL 61364
(815) 673-4363
1669680112CANER CELEBOGLU MD SC
Organization
Specialist104 W 6TH ST STE 204
STREATOR, IL 61364
(815) 673-5533
1114106242PEAK ORTHOPAEDIC & SPORTS CARESC
Organization
Orthopaedic Surgery104 W 6TH ST
STREATOR, IL 61364
(815) 673-3223
1699951483ST. MARYS HOSPITAL
Organization
Internal Medicine (Cardiovascular Disease)104 W 6TH ST
STREATOR, IL 61364
(815) 672-8741
1568634806BRUCE SYLVESTER SMITH MD LLC
Organization
Specialist104 W 6TH ST SUITE 206
STREATOR, IL 61364
(815) 672-1610
1578710562 RIZWAN S AHMAD M.D.
Individual
Surgery104 W 6TH ST SUITE 204
STREATOR, IL 61364
(815) 673-5533
1164673307ST MARYS HOSPITAL
Organization
Orthopaedic Surgery104 W 6TH ST
STREATOR, IL 61364
(815) 673-3223
1770710360ST MARYS HOSPITAL
Organization
Urology104 W 6TH ST
STREATOR, IL 61364
(815) 672-7289
1023166535DR. ROSVIDA ANNE B. SAN GABRIEL M.D.
Individual
Pediatrics104 W 6TH ST SUITE 303
STREATOR, IL 61364
(815) 673-2353
1689751356WESTERN ILLINOIS ENT AND ALLERGY
Organization
Allergy & Immunology (Allergy)104 W 6TH ST SUITE 303
STREATOR, IL 61364
(815) 673-6368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063437150, enumerated in the NPI registry as an "individual" on July 12, 2006

The provider is located at 104 W 6th St Ste 206 Streator, Il 61364 and the phone number is (815) 672-1610

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.