| Dr Bryan Scott Smith, MD | |
|
4212 N 16th St, Phoenix, AZ 85016-5319 | |
| (602) 263-1200 | |
| (602) 263-1619 |
| Full Name | Dr Bryan Scott Smith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 4212 N 16th St, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841429008 | NPI | - | NPPES |
| P00880580 | Other | RR MEDICARE | |
| 200282660A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD437673 (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 27607 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St John Medical Center, Inc | Tulsa, OK | Hospital |
| Oklahoma Surgical Hospital, Llc | Tulsa, OK | Hospital |
| Ascension St John Broken Arrow | Broken arrow, OK | Hospital |
| St John Owasso | Owasso, OK | Hospital |
| Ascension St John Sapulpa | Sapulpa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Hma Hospitalists Llc | 5991972077 | 38 |
| Radiology Associates Of San Luis Obispo A Medical Group Inc | 6608319702 | 50 |
| Oklahoma Surgical Hospital Llc | 7315859121 | 5 |
| Concord Radiology Pllc | 8628332061 | 146 |
| Entity Name | Oklahoma Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487651857 PECOS PAC ID: 7315859121 Enrollment ID: O20040205000541 |
| Entity Name | Tulsa Radiology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871574509 PECOS PAC ID: 1658260492 Enrollment ID: O20040505000680 |
| Entity Name | Concord Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598260515 PECOS PAC ID: 8628332061 Enrollment ID: O20230531002311 |
| Entity Name | Mississippi Hma Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154608883 PECOS PAC ID: 5991972077 Enrollment ID: O20250407001215 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan Scott Smith, MD Po Box 95460, Cleveland, OH 44101-0033 Ph: (602) 581-6076 | Dr Bryan Scott Smith, MD 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1200 |
Donald A Tobias, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 97 Biltmore Est, Phoenix, AZ 85016 Phone: 602-956-3209 | |
Daniel Fosu, Radiology Medicare: Not Enrolled in Medicare Practice Location: 16220 N 7th St Apt 2136, Phoenix, AZ 85022 Phone: 480-469-0283 | |
Sanford Ornstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-4058 | |
Dr. Abhilash P Nambiar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4611 E Shea Blvd Ste 120, Phoenix, AZ 85028 Phone: 602-441-3845 | |
Dr. Tilina N. Hu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Radiology Department, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 | |
Alicia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Joel James Hayden, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 |