NPIMap

Individual provider Active NPI

Brian J Davis, DO

  • Family Medicine Physician
  • Millville, NJ
National Provider Identifier
1437199346
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB73002 Issued in NJ
Practice address
1203 N High St
Suite a
Millville, NJ 08332-2530
Phone
(856) 327-0182
Fax
(856) 327-7381
NPI assigned
Jun 8, 2006
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB73002 NJ Primary

Addresses

Primary practice location

1203 N High St
Suite a
Millville, NJ 08332-2530

Mailing address

1203 N High St
Suite a
Millville, NJ 08332
Phone (856) 327-0182

Other identifiers 1

IdentifierTypeStateIssuer
0004944MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000271 NJ Practitioner - Family Practice 3779597687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cumberland Family Medicine LLCGroup PAC ID 7810919602, 4 clinicians

Practice addresses (Care Compare)

1203 N High St
Suite a
Millville, NJ 08332-2530
Phone (856) 327-0182

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MB73002NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medicine LLC Family Medicine CurrentSince Jan 1, 2006 Accepting new patients
GPS Physician Group of New Jersey, PC CurrentSince Mar 1, 2019 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-3620

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

1203 High St N
#A
Millville, NJ 08332
Phone (856) 327-0182

249 High St
Newton, NJ 07860
Phone (855) 699-6312

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

10 Sterling Dr
Piscataway, NJ 08854
Phone (732) 917-2900

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1437199346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N HIGH ST",
            "address_2": "SUITE A",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "08332",
            "telephone_number": "856-327-0182",
            "fax_number": "856-327-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N HIGH ST",
            "address_2": "SUITE A",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322530",
            "telephone_number": "856-327-0182",
            "fax_number": "856-327-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB73002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004944",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

Verify at the official NPI Registry.