| Brian Smith Medical LLC | |
|
159 Woodlake Dr Pineville LA 71360-4762 | |
| (318) 312-2162 | |
| Not Available |
| Full Name | Brian Smith Medical LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 159 Woodlake Dr, Pineville, Louisiana |
| Authorized Official Name and Position | Brian Smith (OWNER) |
| Authorized Official Contact | 3183122162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Smith Medical LLC 159 Woodlake Dr Pineville LA 71360-4762 Ph: (318) 312-2162 | Brian Smith Medical LLC 159 Woodlake Dr Pineville LA 71360-4762 Ph: (318) 312-2162 |
| NPI Number | 1134012123 |
|---|---|
| Provider Enumeration Date | 05/30/2025 |
| Last Update Date | 05/30/2025 |
| Certification Date | 05/30/2025 |
| Medicare PECOS PAC ID | 0840701595 |
|---|---|
| Medicare Enrollment ID | O20250618003036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134012123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Brian M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154395697 PECOS PAC ID: 6204868003 Enrollment ID: I20050901000012 |
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