NPIMap

Individual provider Active NPI

Bradley Duane Davis, DO

  • Emergency Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1144200189
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
845 Issued in SC
Practice address
101 E Wood St
Emergency Center
Spartanburg, SC 29303-3040
Phone
(864) 560-6222
Fax
(864) 560-4413
NPI assigned
Jan 17, 2006
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 845 SC Primary

Addresses

Primary practice location

101 E Wood St
Emergency Center
Spartanburg, SC 29303-3040

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536

Other practice location 1

701 Grove Rd # Er
Greenville, SC 29605-4210
Phone (864) 455-6185

Other identifiers 5

IdentifierTypeStateIssuer
7361552OtherSCAETNA
189202OtherSCMEDCOST
008459MedicaidSC
89067H3MedicaidNC
20030852OtherSCSELECT HEALTH OF SC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdavis52613@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928001079 SC Practitioner - Emergency Medicine 4183693930 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jul 1, 2016 Accepting new patients
Greenville Health System CurrentSince Jul 1, 2016 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Village Hospital CurrentSince Oct 1, 2008 Accepting new patients
Greenville Health System Current Accepting new patients
Pelham Medical Center Emergency Medicine Current Accepting new patients
Emergencymd CurrentSince Aug 1, 2016 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Spartanburg Medical Center Emergency Medicine CurrentSince Jun 1, 2006 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Spartanburg Medical Center CurrentSince Jun 1, 2006 Accepting new patients
Pelham Medical Center CurrentSince Oct 1, 2008 Accepting new patients
Emergency Physician Services Past Accepting new patients

Locations

75 Remittance Dr
Dept 1363
Chicago, IL 60675

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799

2498 N Pleasantburg Dr
Ste A
Greenville, SC 29609
Phone (864) 236-4350

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: bdavis52613@direct-srhs.et0939.epichosted.com

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1144200189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "address_2": "EMERGENCY CENTER",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6222",
            "fax_number": "864-560-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd # Er",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-6185",
            "fax_number": "864-455-5474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRADLEY",
        "middle_name": "DUANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7361552",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "189202",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008459",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89067H3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH OF SC",
            "identifier": "20030852",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdavis52613@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bdavis52613@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St",
            "address_2": "Emergency Center",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.