NPI 1205821600 · live from the CMS NPI Registry
Bruce Anthony Davis, M.D.
Pediatrics in Louisville, KY. National Provider Identifier 1205821600, active.
NPI record
| NPI | 1205821600 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 9905 Shelbyville Rd, Louisville, KY 40223 |
| Practice phone | 502-425-5166 |
| Enumerated | September 13, 2005 |
| Last updated | September 13, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine | 2080A0000X | 18190 (KY) |
| Pediatrics primary | 208000000X | 18190 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.