DR. BRENT JERALD JR. SMITH (MD) – Diagnostic Radiology Physician, NPI 1235635053

DR. BRENT JERALD JR. SMITH (MD) is a healthcare provider. based in Kansas city, Kansas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD.48715 (AL). The NPI Number for DR. BRENT JERALD JR. SMITH (MD) is 1235635053

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT JERALD JR. SMITH (MD)
NPI
1235635053
Phone
(913) 588-6050
Address
3901 RAINBOW BLVD # MS 2027
Enumeration Date
2 April 2018
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342696337
Graduation Year
2018 (8 years ago)
PAC ID
9830447879
Group Practice PAC ID
2365341328
Professional Enrollment ID
I20240624000446
Address ID
AL368015452OP2000XPKWY300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

298 DIAGNOSTIC RADIOLOGY in KS

Provider Addresses for DR. BRENT JERALD JR. SMITH (MD)

  • 3901 RAINBOW BLVD # MS 2027

    KANSAS CITY, KS 661608500

    Phone: (913) 588-6050

    Type: Location

  • 2055 E SOUTH BLVD STE 714

    MONTGOMERY, AL 361162001

    Phone: (800) 889-8610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-06-24

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
I20240624000446IDiagnostic RadiologyALTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66160)

Loading plans...

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: 2365341328View full group profile
NameSpecialtyState
-AL
Diagnostic RadiologyAL
Diagnostic Radiology, Interventional RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic Radiology, Interventional RadiologyGA
Diagnostic RadiologyAL
-AL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. BRENT JERALD JR. SMITH (MD) by NPI?
Use NPI 1235635053 when you need to reference DR. BRENT JERALD JR. SMITH (MD) in forms, claims, or directories.
Is DR. BRENT JERALD JR. SMITH (MD)'s NPI currently valid?
The extract we use shows DR. BRENT JERALD JR. SMITH (MD) as active.
Can you summarize DR. BRENT JERALD JR. SMITH (MD)'s specialty in plain language?
Clinically, the directory lists DR. BRENT JERALD JR. SMITH (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRENT JERALD JR. SMITH (MD)?
The page summarizes Kansas City, Kansas for DR. BRENT JERALD JR. SMITH (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States
NPI: 1548264294
Foxridge Drive, Mission, Johnson County, Kansas, 66202, United States
NPI: 1710981451
Foxridge Drive, Mission, Johnson County, Kansas, 66202, United States
NPI: 1154326460
University of Kansas Medical Center, 3901, Rainbow Boulevard, Kansas City, Wyandotte County, Kansas, 66160, United States
NPI: 1114922424

DR. DOUGLAS WILLIAM NEMMERS (MD)

Diagnostic Radiology Physician
Foxridge Drive, Mission, Johnson County, Kansas, 66202, United States
NPI: 1902801129
Foxridge Drive, Mission, Johnson County, Kansas, 66202, United States
NPI: 1437154614
Foxridge Drive, Mission, Johnson County, Kansas, 66202, United States
NPI: 1891790002
Foxridge Drive, Mission, Johnson County, Kansas, 66202, United States
NPI: 1508861733