Bobby Smith II, MD
Internal Medicine in Philadelphia, MS. Individual provider (NPI-1).
NPI number1619933744
StatusActive
Last updated in NPPESJan 22, 2008
Details
- NPI
- 1619933744
- Entity type
- Individual (NPI-1)
- Name
- Bobby Smith II
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Last updated
- Jan 22, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 16026 | MS | Yes |
Practice location
921 West Beacon StreetPhiladelphia, MS 39350
Phone 601-656-6116 · Fax 601-656-5445
Mailing address
921 West Beacon StreetPhiladelphia, MS 39350
Phone 601-656-6116 · Fax 601-656-5445
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