Active NPI
Bruce E Davis, PHD
- Behavior Analyst
- Nashville, TN
National Provider Identifier
1467440230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-02-0765
- Practice address
- 1500 21St Ave S
2ND Floor Suite 2200
Nashville, TN 37212-3160 - Phone
- (615) 343-5408
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC00732 | TN | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PE0000011472 | TN | |
| Behavior Analyst | 103K00000X | 1-02-0765 | TN | Primary |
Addresses
Primary practice location
1500 21St Ave S
2ND Floor Suite 2200
Nashville, TN 37212-3160
Mailing address
1500 21St Ave S
2ND Floor Suite 2200
Nashville, TN 37212-3160
Phone (615) 343-5408
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC00732 | TN | MD | Professional Counselor |
| PE0000011472 | TN | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1467440230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 21ST AVE S",
"address_2": "2ND FLOOR SUITE 2200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372123160",
"telephone_number": "615-343-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 21ST AVE S",
"address_2": "2ND FLOOR SUITE 2200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372123160",
"telephone_number": "615-343-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRUCE",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC00732",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "TN",
"license": "PE0000011472",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1-02-0765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.