Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Lee Eissaah Smith

Individual provider Peer Specialist · NPI 1104688308

Bryan Lee Eissaah Smith is a Peer Specialist in Stillwater, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1624 Cimarron Plz
Stillwater, OK 74075-3467
Phone: (844) 458-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1104688308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address1624 Cimarron Plz, Stillwater, OK 74075-3467

Other providers in Stillwater