Provider / Organization | NPI | Date Certified |
---|---|---|
CHARLES EDWARD SMITH | 1972617280 | 2023-11-11 |
Charles Edward Smith MD [M] graduated in 1982 from University Of Arkansas College Of Medicine and primarily specializes in Family Medicine.
Charles Edward Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972617280. Registration indicates Charles Edward Smith is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
PECOS ID | 1658362645 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Charles Edward Smith MD |
Practice Office Address | 1800 N REYNOLDS RD STE 8 BRYANT, AR US |
Practice Office Telephone | 5017460818 |
Mailing Address | 1800 N REYNOLDS RD STE 8 BRYANT, AR 720222525 US |
Business Telephone | 5017460818 |
Code | Practice | License No State |
---|---|---|
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | C6243
AR |
110525001 | MEDICAID | AR | |
C-6243 | OTHER | AR | ALLOPATHIC PHYS |