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NPI Code Detail

MEDICARE: BRYSON ELI SMITH

MEDICARE: BRYSON ELI SMITH
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
1372600000XAdult Companion

General Provider Information

NPI Number : 1861287484
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYSON ELI SMITH
Provider Business Mailing Address
First Line : 821 AVENUE J
Second Line :
City : COZAD
State : NE
Zip : 69130-1708
Country : US
Telephone Number : 308-784-4222
Fax Number :
Provider Business Practice Location Address
First Line : 821 AVENUE J
Second Line :
City : COZAD
State : NE
Zip : 69130-1708
Country : US
Telephone Number : 308-784-4222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2025
Last Update Date : 04/14/2025

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Directions to “ BRYSON ELI SMITH ” Practice Location

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