Individual provider Active NPI

Bradley J Davis, MD

  • Neurology Physician
  • Colorado Springs, CO
National Provider Identifier
1346324746
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
46962 Issued in CO
Practice address
8715 Massey Cir
Colorado Springs, CO 80920-7127
Phone
(719) 313-2144
NPI assigned
Oct 24, 2006
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8500MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neural Watch LLC Past Accepting new patients
Neuralwatch Michigan PLLC PastSince Apr 30, 2003 Accepting new patients
Neuralview Medical Group PC PastSince Apr 30, 2003 Accepting new patients
Neuralwatch New Jersey, LLC PastSince Apr 30, 2003 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.

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.

Verify at the official NPI Registry.