Christopher J Davis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME95617 Issued in FL

Practice address

2816 Manatee Ave W
Bradenton, FL 34205-4237

Phone

(941) 744-1200

Fax

(941) 744-1500

NPI assigned

Oct 19, 2005

Last updated

May 12, 2016By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ekg Panel of Blake

  • Cardiovascular Disease Physician
  • Bradenton, FL
  • NPI 1356733695
  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  Specialist

  Medicare reassignment NPD
• Reveal Vitality, LLC

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1831660927
  NPD Authorized official
• McWi, PLLC

  dba Manatee Cardiovascular Wellness Institute

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1396132874
  Authorized official Same address or phone
• Central Florida Cardiology Interpretations LLC

  • Cardiology Technician
  • Sanford, FL
  • NPI 1780807412
  NPD
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745

  Cardiovascular Disease

  NPD
• Bradenton Cardiology Physician Network LLC

  • Cardiovascular Disease Physician
  • Bradenton, FL
  • NPI 1720373228
  NPD (past)
• Charlotte Cardiovacular Institute, PA

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
  • NPI 1386738425
  NPD (past)
• Southern Medical Group, PA

  • Cardiovascular Disease Physician
  • Tallahassee, FL
  • NPI 1417948159
  NPD (past)
• Halifax Heart Center PC

  • Specialist
  • South Boston, VA
  • NPI 1881700169
  NPD (past)
• Martha Jefferson Hospital

  dba Sentara Endoscopy Center

  • Endoscopy Clinic/Center
  • Charlottesville, VA
  • NPI 1942189022
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1336138536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054237",
            "telephone_number": "941-744-1200",
            "fax_number": "941-744-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054237",
            "telephone_number": "941-744-1200",
            "fax_number": "941-744-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME95617",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95617",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME95617",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME95617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W. Heaton, DDS, PA (Oneco Dental Care)
• Holly Michelle David, DPT
• Sherri Lynn Anne Davidson, ARNP-BC
• Susan Ann Davis-Dimeo, OTR/L
• Amy Catherine Davis, PHARM D
• Gregory Davis III
• Jeffrey M Davis, MD
• Kurtis R Davis, D.M.D.
• Kylee Davis
• Lisa M Davis, L.M.H.C., PH.D.

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.