Dr. Bruce Anthony Davis
Pediatrician Adolescent Medicine
9905 Shelbyville Rd
Louisville
, Kentucky 40223-2907
Dr. Bruce Anthony Davis
Pediatrician Adolescent Medicine
9905 Shelbyville Rd
Louisville
, Kentucky 40223-2907
(502) 327-0526
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Bruce Anthony Davis
- 9905 Shelbyville Rd
- Louisville, KY
- Zip : 40223-2907
- Fax : (502) 327-0526
- Phone : (502) 425-5166
Second Address
- Dr. Bruce Anthony Davis
- 9905 Shelbyville Rd
- Louisville, KY
- Zip : 40223-2907
- Fax : (502) 327-0526
- Phone : (502) 425-5166
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FAQs
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Is Dr. Bruce Anthony Davis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 18190 | KY |
| N | 2080A0000X | Adolescent Medicine | 18190 | KY |
National Provider Identifier
| NPI | 1205821600 |
|---|---|
| Provider Name | Dr. Bruce Anthony Davis |
| First Address | Louisville, KY 40223-2907 |
| Second Address | Louisville, KY 40223-2907 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2005 |
| Last Update Date | 13/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64181902 | (05) | KY |
| B03214 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.