Active NPI
Bryan F Davis, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- Sewell, NJ
National Provider Identifier
1639425754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 25MB09665900
- Practice address
- 100 Kings Way E Ste B1
Sewell, NJ 08080-2237 - Phone
- (856) 536-1515
- Fax
- (856) 412-5324
- NPI assigned
- Jul 26, 2012
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0000004846 | TN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 325394 | NY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25MB09665900 | NJ | Primary |
Addresses
Primary practice location
100 Kings Way E Ste B1
Sewell, NJ 08080-2237
Mailing address
1A Regulus Dr
Turnersville, NJ 08012-2427
Phone (844) 542-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Kings Way E
Suite B1
Sewell, NJ 08080-2237
Phone (856) 536-1515
Hospital & facility affiliations
- Cooper University Hospital
- West Jersey Hospital
- Inspira Medical Center Mullica Hill
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09665900 | NJ | MD | Endocrinology, Diabetes & Metabolism Physician |
| 325394 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
| 0000004846 | TN | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Care Alliance, PC | Current | Accepting new patients | |
| Family Physicians at Burlington | Past | Accepting new patients |
Locations
1816 Route 541
Ste 102
Burlington, NJ 08016
Phone (609) 747-0870
1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616
100 Kings Way E
Ste B1
Sewell, NJ 08080
Phone (856) 228-9142
901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221
Interoperability endpoints
- bdavis124260@direct.cooperhealth.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Burlington, NJ
- NPI 1356484687
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1639425754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A REGULUS DR",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080122427",
"telephone_number": "844-542-2273",
"fax_number": "856-256-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KINGS WAY E STE B1",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802237",
"telephone_number": "856-536-1515",
"fax_number": "856-412-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRYAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-26",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TN",
"license": "0000004846",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "325394",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "25MB09665900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.