IndividualActive
Brian Smith, M.D.
NPI 1780645408 · Family Medicine Physician · Lake St Louis, MO
Provider details
- NPI number
- 1780645408
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2001010530 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
400 Medical Plz Ste 200
Lake St Louis, MO 63367-1417
Phone: (636) 625-2662
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 955534
Saint Louis, MO 63195-5534
Additional practice locations (1)
- 300 Medical PlzLake St Louis, MO 63367-1481Phone: (636) 625-2662Fax: (636) 669-2401
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.