Active NPI
Timothy Brandon Davidson, M.D.
- Emergency Medicine Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.204890
- Practice address
- 3317 Grand Way Ave
Baton Rouge, LA 70810-0437 - Phone
- (225) 400-3542
- NPI assigned
- Aug 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01072210A | IN | |
| Emergency Medicine Physician | 207P00000X | MD.204890 | LA | Primary |
Addresses
Primary practice location
3317 Grand Way Ave
Baton Rouge, LA 70810-0437
Mailing address
3317 Grand Way Ave
Baton Rouge, LA 70810-0437
Phone (225) 400-3542
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130628000204 | IN | Practitioner - Emergency Medicine | 7416119458 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.204890 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Woodlawn Hospital | Current | Accepting new patients | |
| Elite Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Woodlawn Hospital | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Woodlawn Hospital | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Cook County LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
275 W 12th St
Peru, IN 46970
Phone (317) 472-8022
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Interoperability endpoints
- tdavidson1158754@direct.trinity-health.org
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Elkhart, IN
- NPI 1932155371
Emergency Medicine, IN
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
Emergency Medicine, IN
-
- Rural Health Clinic/Center
- Rochester, IN
- NPI 1265095988
-
- Emergency Medicine Physician
- Olympia Fields, IL
- NPI 1114168929
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1043466980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 GRAND WAY AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100437",
"telephone_number": "225-400-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 GRAND WAY AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100437",
"telephone_number": "225-400-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "TIMOTHY",
"middle_name": "BRANDON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01072210A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.204890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.