Physician Compare National (NPI:1659455236)

HEALTHCARE PROVIDER: LEE BRYAN SMITH M.D., J.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1659455236
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779556501
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200316000310
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SMITH
	Individual professional last name
Provider First Name	LEE
	Individual professional first name
Provider Middle Name	BRYAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	453 VAN VOORHIS RD
	Group Practice or individual's line 1 address
City	MORGANTOWN
	Group Practice or individual's city
State	WV
	Group Practice or individual's state
Zip Code	265053408
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y