IndividualActive
Brad Smith, D.O.
NPI 1144243767 · Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1144243767
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- O 0374 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2805 Valencia Dr
Idaho Falls, ID 83404-7597
Phone: (208) 552-3184
Fax: (208) 525-6151
Approximate (ZIP-level) locationGet directions
Mailing address
2805 Valencia Dr
Idaho Falls, ID 83404-7597
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2018-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.