Individual provider · Type 1 NPI
Daniel Bruce Smith, MD, PhD
Military Health Care Provider · Gulfport, MS
NPI number
1861453870
Active
Practice location
22224 Lorene Road
Gulfport, MS 39503
Fax (228) 377-9420
Mailing address
22224 Lorene Rd
Gulfport, MS 39503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 12886 (MS) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Gulfport
About NPI 1861453870
Daniel Bruce Smith, MD, PhD's National Provider Identifier is 1861453870, issued on Mar 29, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Gulfport, MS. The record was last updated on Jul 13, 2026.