Bruce Anthony Davis in Louisville - Adolescent Medicine
Bruce Anthony Davis - NPI 1205821600
Bruce Anthony Davis is a Adolescent Medicine in Louisville, Kentucky. Bruce Anthony Davis practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Bruce Anthony Davis is 1205821600. The last update date is 2017-09-13.
Bruce Anthony Davis's current location address is 9905 Shelbyville Rd, Louisville, Kentucky. You can contact this provider via phone number 5024255166 and fax number 5023270526. The mailing address for Bruce Anthony Davis is 9905 Shelbyville Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Anthony Davis |
|---|---|
| Address | 9905 Shelbyville Rd, Louisville, Kentucky |
| Phone Number | 5024255166 |
| Fax Number | 5023270526 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205821600 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2017-09-13 |
Provider Mailing Address Detail
| Address | 9905 Shelbyville Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402232907 |
| Phone Number | 5024255166 |
| Fax Number | 5023270526 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 18190 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64181902 | KY | -- |
Post Comment/ Review Below
What is the Bruce Anthony Davis's unique identification number?
The Bruce Anthony Davis has been assigned the NPI (National Provider Identifier) Number 1205821600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Bruce Anthony Davis's physical address?
The Bruce Anthony Davis is physically located at 9905 Shelbyville Rd, in the city of Louisville, KY, with the postal code 402232907.
What is Bruce Anthony Davis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Anthony Davis's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
When was the Bruce Anthony Davis's 1205821600 issued?
The Bruce Anthony Davis's 1205821600 was issued on 2005-09-13.
When was the information related to Bruce Anthony Davis most recently updated or refreshed?
The details pertaining to the Bruce Anthony Davis, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-09-13.