=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942176961
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SMITH BRYANT MEDICAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/15/2025
-----------------------------------------------------
Last Update Date | 10/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9470 ANNAPOLIS RD STE 316
-----------------------------------------------------
City | LANHAM
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20706-3024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-788-3557
-----------------------------------------------------
Fax | 301-560-8244
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9470 ANNAPOLIS RD STE 316
-----------------------------------------------------
City | LANHAM
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20706-3024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-788-3557
-----------------------------------------------------
Fax | 301-560-8244
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | MS. PATTY L TAYLOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 240-788-3557
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VG0400X
-----------------------------------------------------
Taxonomy Name | Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------