NPIMap

Individual provider Active NPI

Bridgette L. Davidson, MD

  • Obesity Medicine (Psychiatry & Neurology) Physician
  • Temple, TX
National Provider Identifier
1407502867
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084B0002X
License
L4446493 Issued in TX
Practice address
US Department of Veteran Affairs- Office of Psychiatris
1901 Veteran Memorial Blvd Blg147
Temple, TX 76504
Phone
(254) 743-2867
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X L4446493 TX
Neurocritical Care Physician 2084A2900X L4446493 TX
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X L4446493 TX
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X L4446493 TX
Epilepsy Physician 2084E0001X L4446493 TX
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X L4446493 TX
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X L4446493 TX
Clinical Neurophysiology Physician 2084N0600X L4446493 TX
Psychosomatic Medicine Physician 2084P0015X L4446493 TX
Brain Injury Medicine (Psychiatry & Neurology) Physician 2084P0301X L4446493 TX
Geriatric Psychiatry Physician 2084P0805X L4446493 TX
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X L4446493 TX
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X L4446493 TX
Obesity Medicine (Psychiatry & Neurology) Physician 2084B0002X L4446493 TX Primary

Addresses

Primary practice location

US Department of Veteran Affairs- Office of Psychiatris
1901 Veteran Memorial Blvd Blg147
Temple, TX 76504

Mailing address

US Department of Veteran Affairs- Office of Psychiatris
1901 Veteran Memorial Blvd Blg147
Temple, TX 76504
Phone (254) 743-2867

Other identifiers 7

IdentifierTypeStateIssuer
34721777OtherTXTRICARE CHAMPUS VA COPAY
L4446493MedicaidTX
34721777MedicaidTX
L4446493OtherTXALL
65674MedicaidTX
67922262OtherTXTRICARE, CHAMPUS, CO PAY SSI ALL INSURANCR
ALLMedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Va.gov Health Information Exchange (HIE)
CONNECT URL NPI Direct

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L4446493TXMDSleep Medicine (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1407502867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "US DEPARTMENT OF VETERAN AFFAIRS- OFFICE OF PSYCHIATRIS",
            "address_2": "1901 VETERAN MEMORIAL BLVD BLG147",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76504",
            "telephone_number": "254-743-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US DEPARTMENT OF VETERAN AFFAIRS- OFFICE OF PSYCHIATRIS",
            "address_2": "1901 VETERAN MEMORIAL BLVD BLG147",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76504",
            "telephone_number": "254-743-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "BRIDGETTE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "L4446493",
            "primary": false
        },
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "TX",
            "license": "L4446493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS  VA COPAY",
            "identifier": "34721777",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L4446493",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34721777",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL",
            "identifier": "L4446493",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65674",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE, CHAMPUS, CO PAY SSI ALL INSURANCR",
            "identifier": "67922262",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ALL",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Va.gov",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 Veterans Memorial Blvd Bldg 147",
            "address_2": "US Department of Veteran Affairs- Office of Psychiatris",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 Veterans Memorial Blvd Bldg 147",
            "address_2": "US Department of Veteran Affairs- Office of Psychiatris",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.