Bryan Davis

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11918 Issued in SC

Practice address

210A Birchtree Dr
Greenwood, SC 29649-1502

Phone

(864) 223-2243

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 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 1

Addresses

Other names 1

• Andy Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1396287660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WENMOUNT CT",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296467566",
            "telephone_number": "864-992-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210A BIRCHTREE DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491502",
            "telephone_number": "864-223-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "DAVIS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Channing Daniel, RPH
• William F. Darby Jr., M.D.
• Hilary S Darnell, NP
• Elizabeth Corley Davenport-Fox, DNP, APRN, ANP-BC
• Theresa A Davila, PA-C
• Carol Ann Davis, LISW CP
• Christy Lloyd Davis, M.S.P.
• Erin Elizabeth Davis
• Grace Davis
• Jeanette Davis

• Social Worker in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.