Brent Ryan Davidson in Fenton - Ophthalmology
Brent Ryan Davidson - NPI 1437127065
Brent Ryan Davidson is a Ophthalmology in Fenton, Missouri. Brent Ryan Davidson practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Brent Ryan Davidson is 1437127065. The last update date is 2015-01-23.
Brent Ryan Davidson's current location address is 1011 Bowles Ave, Fenton, Missouri. You can contact this provider via phone number 6367171700 and fax number 6362034727. The mailing address for Brent Ryan Davidson is 1011 Bowles Ave, Fenton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Ryan Davidson |
|---|---|
| Address | 1011 Bowles Ave, Fenton, Missouri |
| Phone Number | 6367171700 |
| Fax Number | 6362034727 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437127065 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | 1011 Bowles Ave |
|---|---|
| City | Fenton |
| State | Missouri (MO) |
| Post Code | 630262395 |
| Phone Number | 6367171700 |
| Fax Number | 6362034727 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 2005009915 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10032015 | IL | BLUECROSS BLUESHIELD | |
| P00339415 | IL | RAILROAD MEDICARE | |
| 714579 | HEALTHLINK | ||
| 714579 | IL | HEALTHLINK | |
| 109208 | MO | HEALTH ALLIANCE | |
| P00238356 | MO | RAILROAD MEDICARE | |
| 113109 | IL | HEALTH ALLIANCE | |
| 226523 | MO | GROUP HEALTH PLAN | |
| 207319807 | MO | -- | |
| 5617586 | MO | FIRST HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brent Ryan Davidson by the Centers for Medicare & Medicaid Services?
The Brent Ryan Davidson has been assigned the NPI (National Provider Identifier) 1437127065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Brent Ryan Davidson's physical address?
The Brent Ryan Davidson is physically located at 1011 Bowles Ave, in the city of Fenton, MO, with the postal code 630262395.
What is the area of specialization for Brent Ryan Davidson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brent Ryan Davidson is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437127065 to Brent Ryan Davidson?
The Centers for Medicare & Medicaid Services assigned the 1437127065 to Brent Ryan Davidson on 2006-03-09.
As of what date were the details related to Brent Ryan Davidson most recently updated or revised?
The information pertaining to Brent Ryan Davidson, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-23.