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

NPI Status: Active since May 21, 2012

Contact Information

1409 DEVINE ST
COLUMBIA, SC
ZIP 29208
Phone: (803) 777-2913
Fax: (803) 777-0126

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  • Individual
  • Male
  • Pediatrics
  • Sports Medicine

About BRYAN SMITH

This page provides the complete NPI Profile along with additional information for Bryan Smith, a pediatrician established in Columbia, South Carolina with a medical specialization in Pediatrics, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1790045094 assigned on May 2012. The practitioner's primary taxonomy code is 2080S0010X with license number 34586 (SC). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1790045094
Provider Name
BRYAN WESLEY SMITH M.D.
Gender
Male
Entity Type
Individual
Location Address
1409 DEVINE ST COLUMBIA, SC 29208
Location Phone
(803) 777-2913
Location Fax
(803) 777-0126
Mailing Address
1409 DEVINE ST COLUMBIA, SC 29208
Mailing Phone
(803) 777-2913
Mailing Fax
(803) 777-0126
Is Sole Proprietor?
No
Enumeration Date
05-21-2012
Last Update Date
05-21-2012
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A pediatrician like Bryan Smith is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics Sports Medicine

Taxonomy Code
2080S0010X
Type
Allopathic & Osteopathic Physicians
License No.
34586
License State
SC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080S0010XAllopathic & Osteopathic Physicians

Pediatrics
Sports Medicine

39745 (NC)

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
F54157MEDICARE UPIN (02)NC 
7977421MEDICAID (05)NC 

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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.
1790045094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271800410018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 0 + 4 + 1 + 0 + 0 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1790045094 is valid because the calculated check digit 4 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
1124008867DR. CHARLES MIDDLETON MCKENZIE JR. MD
Individual
Pediatrics1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-3175
1346353950MRS. JANINE REECE WRECSICS RN,BSN
Individual
Registered Nurse (College Health)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-3658
1528172798MS. LINDA DIANE LIZOTTE RN
Individual
Registered Nurse (College Health)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-3658
1942316823MRS. KAREN R SHELLY RNBC
Individual
Registered Nurse (College Health)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-3658
1043322084 KEITH MORRIS CROSSWHITE PHYSICAL THERAPIST
Individual
Physical Therapist1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-6894
1972691459MRS. LAURIE LEE PARRISH RN
Individual
Registered Nurse1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-3658
1184842239DR. ADA KATHLEEN SKINNER MD
Individual
Student in an Organized Health Care Education/Training Program1409 DEVINE ST UNIVERSITY OF SOUTH CAROLINA
COLUMBIA, SC 29208
(803) 777-3174
1962469726MR. MICHAEL J MONEY FNP
Individual
Nurse Practitioner (Family)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-3175
1710374418 JASON BUCHANAN
Individual
Radiologic Technologist (Computed Tomography)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-3667
1225417710 RYAN BRAD CARSTEN
Individual
Nurse Practitioner (Family)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-3175
1679006118MR. COREY INGRAM LMSW
Individual
Social Worker (Clinical)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 359-9871
1689159642DR. JORDAN CELEST COOLER PHARMD
Individual
Pharmacist (Psychiatric)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 576-8344
1437614039MRS. MISTY BELL DIX PT
Individual
Physical Therapist1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-6894
1679120117 TIFFANY HOWARD
Individual
Counselor (Professional)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-5223
1194372656 SUSAN COLLINS PSYD
Individual
Psychologist (Clinical)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-5223
1982252565 SABRINA JOHNSON
Individual
Counselor (Mental Health)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-5223
1487165205 MARGARET COUGHLIN
Individual
Specialist/Technologist (Athletic Trainer)1409 DEVINE ST
COLUMBIA, SC 29208
(920) 209-6771
1841837481 STEPHANIE JO BEELER FNP-C
Individual
Nurse Practitioner (Family)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-8920
1164192175DR. EMMA GRIFFIN DNP, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 777-5223
1336488402 CHRISTINA K JONES LPC, LPC/S, MAC
Individual
Counselor (Professional)1409 DEVINE ST
COLUMBIA, SC 29208
(803) 422-9754

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790045094, enumerated in the NPI registry 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

The provider's speciality is Pediatrics with taxonomy code 2080S0010X with a focus in Sports Medicine

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 May 21, 2012. 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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