OrganizationActive
Brad D Smith, DO, PA
NPI 1336246701 · Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1336246701
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brad Smith, President(208) 542-2787
- License
- O-0374 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2805 Valencia Drive
Idaho Falls, ID 83404
Phone: (208) 542-2787
Fax: (208) 252-6151
Street-level locationGet directions
Mailing address
3622 Stonebrook Ln
Idaho Falls, ID 83404-7903
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2010-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.