BRYAN JAMES SMITH (MD) – Internal Medicine Physician, NPI 1104868033

BRYAN JAMES SMITH (MD) is a healthcare provider. based in Fort walton beach, Florida. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. ME107850 (FL). The NPI Number for BRYAN JAMES SMITH (MD) is 1104868033

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN JAMES SMITH (MD)
NPI
1104868033
Phone
(850) 863-8100
Address
1005 MAR WALT DRIVE
Enumeration Date
12 June 2006
Last Update Date
11 February 2014

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
8027287000
Graduation Year
1993 (33 years ago)
PAC ID
9032105077
Group Practice PAC ID
4880683663
Professional Enrollment ID
I20190131001554
Address ID
VT050601381RA44XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,491 HOSPITALIST in FL

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Provider Addresses for BRYAN JAMES SMITH (MD)

  • 1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States

    FORT WALTON BEACH, FL 325476796

    Phone: (850) 863-8100

    Fax: (850) 862-2303

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190131001554IHospitalistVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7237$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6441$0
99239Hospital discharge day management, more than 30 minutes5151$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 32547)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880683663View full group profile
NameSpecialtyState
Emergency MedicineVT
-VT
Physician AssistantVT
General SurgeryVA
Physician AssistantVT
Hospitalist, Internal MedicineCO
Diagnostic RadiologyIL
Family PracticeVT
O B S T E T R I C S/ G Y N E C O L O G YCA
Nurse PractitionerVT

Reviews

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Frequently asked questions

What is the registry number for BRYAN JAMES SMITH (MD)?
The registry entry for BRYAN JAMES SMITH (MD) shows NPI 1104868033.
Is BRYAN JAMES SMITH (MD)'s NPI status active today?
Active status means BRYAN JAMES SMITH (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits BRYAN JAMES SMITH (MD)?
NPPES ties BRYAN JAMES SMITH (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit BRYAN JAMES SMITH (MD) in Fort Walton Beach, Florida?
For routing, start with Fort Walton Beach, Florida for BRYAN JAMES SMITH (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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Unknown Individual

Internal Medicine Physician
1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
NPI: 1255316394