Bryan Richard Davidson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10003308A Issued in IN

Practice address

110 E 13TH St
Rushville, IN 46173-2126

Phone

(765) 932-7063

Fax

(765) 932-7065

NPI assigned

Jul 23, 2021

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rush Memorial Hospital

  • Critical Access Hospital
  • Rushville, IN
  • NPI 1497726020

  IN

  Medicare reassignment Care Compare group
• Rush Memorial Hospital

  • Community/Retail Pharmacy
  • Rushville, IN
  • NPI 1952139248
  Care Compare group NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1285103671

  IN

  Medicare reassignment
• Major Multispecialty Associates

  • Internal Medicine Physician
  • Shelbyville, IN
  • NPI 1437398492

  IN

  Medicare reassignment
• Rush Memorial Hospital

  • Rural Health Clinic/Center
  • Rushville, IN
  • NPI 1659935781
  Care Compare group NPD (past)
• Rush Memorial Hospital

  • Skilled Nursing Facility
  • Rushville, IN
  • NPI 1053671255
  Care Compare group
• Rush Memorial Hospital

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1467443788
  Care Compare group
• Rush Memorial Hospital

  • Skilled Nursing Facility
  • Bedford, IN
  • NPI 1609136159
  Care Compare group
• Rush Memorial Hospital

  • Rural Health Clinic/Center
  • Milroy, IN
  • NPI 1629800297
  Care Compare group
• Rush Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Rushville, IN
  • NPI 1962462796
  Care Compare group
• Rush Memorial Hospital

  • Skilled Nursing Facility
  • Vincennes, IN
  • NPI 1982964433
  Care Compare group
• Cep America LLC

  • Emergency Medicine Physician
  • East Chicago, IN
  • NPI 1336805563

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Reid Hospital & Health Care Services, Inc

  • General Acute Care Hospital
  • Richmond, IN
  • NPI 1063457380

  Hospital

  Care Compare affiliation
• Rush Memorial Hospital

  • Critical Access Hospital
  • Rushville, IN
  • NPI 1497726020

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rush Memorial Hospital 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rush Memorial Hospital Hospital, Rushville, IN, CCN 151304
• Reid Health Hospital, Richmond, IN, CCN 150048

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2025.

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1013580331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731198",
            "telephone_number": "765-932-4111",
            "fax_number": "765-932-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 13TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461732126",
            "telephone_number": "765-932-7063",
            "fax_number": "765-932-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "BRYAN",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003308A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Craft
• Raid Daas, M.D.
• Darin Wallace Chiropractic, Inc.
• Joyce Diane Darnell, CFNP
• Russell Daugherty, M.D.
• Mary Davis
• Eileen Dewire, NP
• Haley Dickson
• Alisha Nicole Dowell, LCSW, MSW
• Dr. Craig a. Fenimore, Optometrist

• All providers in Rushville, IN
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.