Brett Davis, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC894 Issued in NM

Practice address

5307 Gibson Blvd SE
Albuquerque, NM 87108-4726

Phone

(505) 232-6666

Fax

(505) 265-9170

NPI assigned

Feb 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073654455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 GIBSON BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084726",
            "telephone_number": "505-232-6666",
            "fax_number": "505-265-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 GIBSON BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084726",
            "telephone_number": "505-232-6666",
            "fax_number": "505-265-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NM",
            "license": "DC894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "894",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Davis, CNP
• Angela Davis
• Ashley Davis
• Betsy J Davis, PH.D.
• BJ Davis, D.O.
• Brian Earl Davis, M.DIV., PH.D.
• Carolyn Davis
• Daniel Alyn Davis, MD
• David A. Davis, M.D.
• Deanna Davis

• Rehabilitation Chiropractor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Rehabilitation Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.