Bryn E Davies, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

10024047 Issued in OR

Practice address

1001 N Providence Dr
Newberg, OR 97132-7485

Phone

(503) 537-1555

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Nurse Practitioner

Practice roles

Locations

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.

• Providence Health & Services - Oregon

  dba Providence Willamette Falls Medical Center

  • General Acute Care Hospital
  • Oregon City, OR
  • NPI 1912282369
  Medicare reassignment NPD
• Providence Health & Services - Oregon

  dba Providence Newberg Medical Center

  • General Acute Care Hospital
  • Newberg, OR
  • NPI 1952482275
  Medicare reassignment NPD
• Providence Health & Services Oregon

  dba Providence Medical Group

  • General Practice Physician
  • Lake Oswego, OR
  • NPI 1023488343
  Medicare reassignment NPD
• Providence Health & Services - Oregon

  dba Providence Willamette Falls Medical Center

  • Clinical Pathology Physician
  • Oregon City, OR
  • NPI 1003368911
  NPD
• Providence Health & Services - Oregon

  dba Providence Newberg Medical Center

  • Clinical Pathology Physician
  • Newberg, OR
  • NPI 1174074868
  NPD
• Providence Health & Services - Oregon

  dba Providence Medical Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Portland, OR
  • NPI 1477827509
  NPD
• Providence Health & Services Oregon

  dba Providence Medical Group

  • Psychiatry Physician
  • Portland, OR
  • NPI 1760177737
  NPD

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1093573818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 SW SHATTUCK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211800",
            "telephone_number": "541-598-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N PROVIDENCE DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327485",
            "telephone_number": "503-537-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Division St",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970451527",
            "country_code": "US",
            "telephone_number": "503-656-1631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "BRYN",
        "middle_name": "E",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OR",
            "license": "201403609RN",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "10024047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Cummings, M.D.
• Andrew P Dagostino
• Chad Dahlstrom
• Kasey M Dana, LMT
• Thomas Winchester Davenport, M.D.
• Teresa Davigo, PH.D.
• Autumn Marie Irons Davis, MA
• Jamie Davis, MA, CCC-SLP
• Julianne Susan Davis, RN
• Natalie Davis, L.M.T

• Pediatric Nurse Practitioner in Newberg, OR
• Providers in Newberg, OR by specialty
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.

Verify at the official NPI Registry.