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Active NPI 1366464927 Individual Practitioner Male Practitioner

Bradley A Smith , PA-C

Physician Assistant • Bemidji, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bradley Smith, PA-C is a certified Physician Assistant practicing in Bemidji, MN. With approximately 35 years of clinical experience since completing medical education in 1991, Bradley Smith delivers high-quality medical care to the local community at 1233 34TH ST NW.

Bradley Smith is affiliated with Sanford Health Of Northern Minnesota and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, removal of central venous catheter for infusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1233 34th St Nw

Bemidji, MN 566015112

Telephone 2183335000
Fax 2187595279
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bemidji, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +19.4 yrs vs City Avg
City Avg: 15.6 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Bemidji, MN (4026 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (35 Years) 35 Yrs
Bemidji Specialty Average (15.6 Years) 15.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
89 44 $197.33 $53.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 11 $63.42 $28.40

Medical Specialties & State Licenses

CMS Verified: 2023-03-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9736

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License MN 9736

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License MN 9736

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
049812200 (MN)

Hospital & Practice Group Affiliations

Sanford Health Of Northern Minnesota

1233 34th St Nw, Bemidji, MN 566015112

Phone: 2183335522

Sanford Health Of Northern Minnesota

1611 Anne St Nw, Bemidji, MN 566015114

Phone: 2183335000

Sanford Health Of Northern Minnesota

1300 Anne St Nw, Bemidji, MN 566015103

Phone: 2183335000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003392887

Doctor of Audiology

Deborah Steinbar , PA-C

Physician Assistant - Medical

NPI 1013230051

Physician Assistant (Certified)

Donna Shorter , PA-C

Physician Assistant

NPI 1013938232

Physician Assistant (Certified)

NPI 1023076064

Doctor of Medicine (M.D.)

Kayla Kaiser , FNP-BC

Nurse Practitioner - Family

NPI 1023633096

Family Nurse Practitioner (Board Certified)

Dr. Rodney Will , MD

Internal Medicine

NPI 1033131628

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 27, 2023

Registered at 1233 34TH ST NW, BEMIDJI, MN 566015112 (Tel: 2183335000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2023

Physician Assistant (License #9736 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2022

Physician Assistant (License #9736 in MN)

📍
Updated Business Mailing Address November 19, 2021

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

NPI Profile Active October 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2013

Registered at 1300 ANNE ST NW, BEMIDJI, MN 566015103 (Tel: 2183335283)

📍
Updated Business Mailing Address October 09, 2013

Registered at 1300 ANNE ST NW, BEMIDJI, MN 566015103 (Tel: 2183335283)

👤
Provider Name / Credentials Updated October 09, 2013

Recorded as BRADLEY SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2013

Physician Assistant (License #9736 in MN)

🟢
Initial NPI Registration & Enumeration July 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366464927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: March 27, 2023
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.