Healthcare Provider Details

I. General information

NPI: 1932056843
Provider Name (Legal Business Name): BAKARI OBASI-LEE SMITH CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 N BRIGHTLEAF BLVD
SMITHFIELD NC
27577-7267
US

IV. Provider business mailing address

1208 RIDGE WOOD ST
DURHAM NC
27713-1288
US

V. Phone/Fax

Practice location:
  • Phone: 984-230-2577
  • Fax:
Mailing address:
  • Phone: 919-943-1636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: