BRADY LEE SMITH (NPI# 1821683954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821683954 |
| Entity Type | Individual |
| Full Name | BRADY LEE SMITH |
| Gender | Male |
| Practice Address | 155 5th St San Francisco CA 94103-2919 |
| Practice Telephone | 3035197470 |
| Mailing Address | 2336 Panoramic Dr Concord CA 94520-1319 |
| Mailing Telephone | 3035197470 |
| Certification Date | 2021-03-01 |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address | 155 5TH ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629665393 | Carlene Ann Mendieta | Dentist · Periodontics | 155 5th St, San Francisco, CA 94103-2919 | 2020-12-28 |
| 1326653775 | Eliz Danielle Santos | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2020-09-12 |
| 1831711746 | Mateel Musallam | Audiologist-Hearing Aid Fitter | 155 5th St, San Francisco, CA 94103-2919 | 2020-05-13 |
| 1598220790 | Sandra Anne Mclaren | Counselor · Mental Health | 155 5th St, San Francisco, CA 94103 | 2019-02-01 |
| 1427527845 | Jiong Hu | Audiologist | 155 5th St, San Francisco, CA 94103-2919 | 2018-11-14 |
| 1629579479 | Se Rin Lee | Student in an Organized Health Care Education/Training Program | 155 5th St, San Francisco, CA 94103 | 2018-02-27 |
| 1154871200 | Ronald Chung | Dentist · Orthodontics and Dentofacial Orthopedics | 155 5th St, San Francisco, CA 94103-2919 | 2016-10-12 |
| 1861940371 | Tex Christopher Mabalon IIi | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-09-13 |
| 1316301898 | William Tognotti | Dentist · General Practice | 155 5th St, San Francisco, CA 94103-2919 | 2016-04-11 |
| 1033570551 | Warden Noble | Dentist · Prosthodontics | 155 5th St, San Francisco, CA 94103-2919 | 2016-03-10 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467040006 | Jaime Alberto Iniguez | Social Worker | 982 Mission Street, Flexible Housing Pool Team, San Francisco, CA 94103 | 2021-01-08 |
| 1649872920 | Peggie Annmarie Decoteau | Licensed Vocational Nurse | Baker Places, 101 Cough St, San Francisco, CA 94103 | 2020-11-12 |
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1437622768 | Amber Peirce | Counselor · Addiction (Substance Use Disorder) | 1735 Mission St, San Francisco, CA 94103 | 2019-01-09 |
| 1174092365 | Stephanie Diaz | Behavior Analyst | 1663 Mission St Ste 400, San Francisco, CA 94103 | 2018-11-16 |
| 1841768249 | Sonia Kumar | Social Worker · Clinical | 982 Mission St, San Francisco, CA 94103 | 2018-11-05 |
| 1366925604 | Sharon Farrell | Specialist · Research Data Abstracter/Coder | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1033692686 | Kary Ann Mcelroy | Community Health Worker | 1235 Mission Street, San Francisco, CA 94103 | 2018-09-10 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center · Physical Therapy | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1336627520 | Mary Katherine Wheeler | Physician Assistant | 1563 Mission St, San Francisco, CA 94103 | 2018-07-31 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932794591 | Vanessa Canales | 2130 Fulton St, San Francisco, CA 94117-1080 | 2021-03-05 | |
| 1003400656 | Thao Luong | 160 Capp St, San Francisco, CA 94110-1210 | 2021-02-24 | |
| 1407440043 | Alex Kryger | 101 Woodland Ave, San Francisco, CA 94117-3862 | 2021-02-24 | |
| 1174117949 | Anni Bui | 2130 Fulton St, San Francisco, CA 94117-1080 | 2021-02-23 | |
| 1598358814 | Alice Wu | 1630 Ocean Ave, San Francisco, CA 94112-1718 | 2021-02-17 | |
| 1629661533 | Do Hyung Kwon Jeong | 4150 Clement St, San Francisco, CA 94121-1563 | 2021-02-11 | |
| 1538751078 | Kristen A Wolaver | 1563 Mcallister St, San Francisco, CA 94115-4461 | 2021-02-05 | |
| 1760073886 | Joshua David Seeberger | 4150 Clement St, San Francisco, CA 94121-1563 | 2021-02-01 | |
| 1003407289 | Brian Gac | 760 Harrison St, San Francisco, CA 94107-1235 | 2021-01-29 | |
| 1558951574 | Matthew Joshua Sun | 4150 Clement Street, Bldg 200- 1st Floor. Dental Service., San Francisco, CA 94121 | 2021-01-23 | |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639156029 | City of Brady · Brady Fire/Ems | Ambulance | 216 W Commerce St, Brady, TX 76825-4522 | 2005-12-27 |
| 1467439976 | Southwest Ltc--Brady West, Ltd. · Brady West Nursing and Convalescent Center | Skilled Nursing Facility | 2201 Menard Hwy, Brady, TX 76825-7432 | 2005-12-27 |
| 1063738268 | Brady Ted Smith | Pharmacist | 530 N 250 W, Salina, UT 84654-5514 | 2010-04-13 |
| 1932453578 | Brady West Snf LLC · Brady West Rehab & Nursing | Skilled Nursing Facility | 2201 Menard Hwy, Brady, TX 76825-7432 | 2012-11-05 |
| 1982128997 | Brady M Smith | Specialist/Technologist · Athletic Trainer | Brigham Young University, 123 Sab, Provo, UT 84602 | 2017-08-01 |
| 1780892125 | Sharon Smith Brady | Psychologist | 503 Nw Sheridan Rd, Suite A, Lawton, OK 73505-6521 | 2007-05-18 |
| 1679113443 | Brady Lewis | Pharmacist | 1001 Towson Ave Ste 300, Fort Smith, AR 72901-4921 | 2020-01-09 |
| 1164887600 | Lori Brady | Counselor | 5401 Rogers Ave Ste 200, Fort Smith, AR 72903-3763 | 2015-12-29 |
| 1194904359 | Laura V Smith | Occupational Therapist | 12615 Brady Place Blvd, Jacksonville, FL 32223-2590 | 2007-10-24 |
| 1356572036 | Brady Tucker Smith | Dentist · General Practice | 2025 W Us Highway 50, Ste A100, Pueblo, CO 81008-1571 | 2009-07-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.