Active NPI
Bradley J Davis, MD
- Neurology Physician
- Colorado Springs, CO
National Provider Identifier
1346324746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 46962
- Practice address
- 8715 Massey Cir
Colorado Springs, CO 80920-7127 - Phone
- (719) 313-2144
- NPI assigned
- Oct 24, 2006
- Last updated
- Oct 24, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 46962 | CO | Primary |
Addresses
Primary practice location
8715 Massey Cir
Colorado Springs, CO 80920-7127
Mailing address
8715 Massey Cir
Colorado Springs, CO 80920-7127
Phone (719) 313-2144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8500 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neural Watch LLC | Past | Accepting new patients | |
| Neuralwatch Michigan PLLC | Past | Accepting new patients | |
| Neuralview Medical Group PC | Past | Accepting new patients | |
| Neuralwatch New Jersey, LLC | Past | Accepting new patients | |
| Delta Waves of Woodland Park Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Specialist
- Ann Arbor, MI
- NPI 1093951568
-
- Specialist
- Ann Arbor, MI
- NPI 1336434679
-
dba Delta Waves of Pueblo
- Sleep Disorder Diagnostic Clinic/Center
- Pueblo, CO
- NPI 1679892475
-
- Specialist
- Ann Arbor, MI
- NPI 1053351536
-
- Specialist
- Ann Arbor, MI
- NPI 1093952160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1346324746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8715 MASSEY CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207127",
"telephone_number": "719-313-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8715 MASSEY CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207127",
"telephone_number": "719-313-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRADLEY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "46962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.