MEDICARE: BRENDAN E SMITH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	22095	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588744957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDAN E SMITH M.D.

Provider Business Mailing Address
First Line	:	16 OKATIE CENTER BLVD S STE 101
Second Line	:
City	:	OKATIE
State	:	SC
Zip	:	29909-7535
Country	:	US
Telephone Number	:	843-705-8940
Fax Number	:	843-705-6816

Provider Business Practice Location Address
First Line	:	16 OKATIE CENTER BOULEVARD SOUTH SUITE 101
Second Line	:
City	:	OKATIE
State	:	SC
Zip	:	29909-7533
Country	:	US
Telephone Number	:	843-705-8940
Fax Number	:	843-705-6816

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	05/28/2026

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Directions to “ BRENDAN E SMITH M.D.” Practice Location

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