Provider Demographics
NPI:1538191291
Name:SMITH, BRENDAN HOWDEN (MD)
Entity type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:HOWDEN
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4959 TALBOT LN
Mailing Address - Street 2:#101
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6554
Mailing Address - Country:US
Mailing Address - Phone:775-827-5470
Mailing Address - Fax:775-827-5470
Practice Address - Street 1:1000 LOCUST ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2597
Practice Address - Country:US
Practice Address - Phone:775-786-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6474207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine