BRADLEY SMITH
NPI 1699208876
Student in an Organized Health Care Education/Training Program in Detroit, MI

NPI Status: Active since April 05, 2017

Contact Information

4201 SAINT ANTOINE ST
9C-UHC
DETROIT, MI
ZIP 48201
Phone: (313) 745-5146

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  • Individual
  • Male
  • Years of Experience 6
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BRADLEY SMITH

This page provides the complete NPI Profile along with additional information for Bradley Smith, a primary care provider established in Detroit, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program and more than 6 years of experience. He graduated from Wayne State University School Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1699208876 assigned on April 2017. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1699208876
Provider Name
BRADLEY SMITH
Gender
Male
Entity Type
Individual
Location Address
4201 SAINT ANTOINE ST 9C-UHC DETROIT, MI 48201
Location Phone
(313) 745-5146
Mailing Address
1925 HARWOOD AVE ROYAL OAK, MI 48067
Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
04-05-2017
Last Update Date
02-11-2022
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A primary care provider (PCP) like Bradley Smith sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Bradley Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Bradley Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7315215076

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210413001845

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 15 times for 15 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 20 times for 20 patients

Emergency department visit for problem of mild to moderate severity

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

This service was performed 12 times for 12 patients

Reviews for BRADLEY SMITH

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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.
1699208876
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261894016814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 4 + 0 + 1 + 6 + 8 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1699208876 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457346587 MARY WALCZYK CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1568457216 WILLIAM ODDO CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1487649133 CHRISTINE ANDERSON CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1528059664 HO KYU LEE MD
Individual
Radiology (Diagnostic Radiology)4201 SAINT ANTOINE ST DRH 3L-8
DETROIT, MI 48201
(313) 745-3430
1922084938 MICHAEL W ROBERTS DO
Individual
Orthopaedic Surgery4201 SAINT ANTOINE ST STE. 6B
DETROIT, MI 48201
(313) 966-2609
1780661504 PRUDENTIA WORTH CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1851378673 ROMMEL MENDOZA CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1740267350 VALDOR HAGLUND CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1033196654 KELLEY LABONTY CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1568449189 TRISHA LEMIEUX CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1730166356 WANDA LOWERY-LAMB CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1326025933 PHILIP KYKO CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1144207895 PETER MONTRIE CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1336126093 KAREN CRAWFORTH CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1205813995 ALAN ROBERTS CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1922085687 MICHAEL DURONIO CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1528045267 MARK AUGER CRNA
Individual
Nurse Anesthetist, Certified Registered4201 SAINT ANTOINE ST
DETROIT, MI 48201
(952) 442-9770
1245209410DR. ANTHONY T LAGINA M.D.
Individual
Emergency Medicine4201 SAINT ANTOINE ST
DETROIT, MI 48201
(313) 745-3000
1972562171DR. MATTHEW W HEDGE M.D.
Individual
Emergency Medicine4201 SAINT ANTOINE ST SUITE 3R
DETROIT, MI 48201
(313) 745-3040
1992764807DR. JENNIFER E MARTIN M.D.
Individual
Emergency Medicine4201 SAINT ANTOINE ST SUITE 3R
DETROIT, MI 48201
(313) 745-3330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699208876, enumerated in the NPI registry as an "individual" on April 05, 2017

The provider is located at 4201 Saint Antoine St 9c-uhc Detroit, Mi 48201 and the phone number is (313) 745-5146

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 6 years of experience. He graduated from Wayne State University School Of Medicine in 2020.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity and Emergency department visit for problem of mild to moderate severity.

This NPI record was last updated on April 05, 2017. 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].
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