Provider Demographics
NPI:1942176961
Name:SMITH BRYANT MEDICAL
Entity type:Organization
Organization Name:SMITH BRYANT MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-788-3557
Mailing Address - Street 1:9470 ANNAPOLIS RD STE 316
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3024
Mailing Address - Country:US
Mailing Address - Phone:240-788-3557
Mailing Address - Fax:301-560-8244
Practice Address - Street 1:9470 ANNAPOLIS RD STE 316
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3024
Practice Address - Country:US
Practice Address - Phone:240-788-3557
Practice Address - Fax:301-560-8244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty