Healthcare Provider Details
I. General information
NPI: 1851252233
Provider Name (Legal Business Name): B SMART ENTERPRISE CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9191 W FLORISSANT AVE STE 207
SAINT LOUIS MO
63136-1424
US
IV. Provider business mailing address
9191 W FLORISSANT AVE STE 207
SAINT LOUIS MO
63136-1424
US
V. Phone/Fax
- Phone: 808-289-4652
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171R00000X |
| Taxonomy | Interpreter |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231HA2500X |
| Taxonomy | Assistive Technology Supplier Audiologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
WILLIAMS
Title or Position: OWNER
Credential:
Phone: 808-289-4650