BOLIVIA DAVIS M.D. – NPI #1073584413
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

BOLIVIA DAVIS is a radiologist located in LA PLATA, MD. NPPES has assigned the NPI number 1073584413 to BOLIVIA DAVIS on February 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on Apr 24, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOLIVIA DAVIS below.

NPI Profile for
BOLIVIA DAVIS

NPI Number
1073584413
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BOLIVIA DAVIS
Credentials
M.D.
Primary location
5 GARRETT AVE, DEPT OF RADIOLOGY
LA PLATA, MD 20646-5960
Phone: (301) 609-4000 Fax:
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY
BALTIMORE, MD 21201-1544
Phone: (410) 328-3477 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for BOLIVIA DAVIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDC029555600
MEDICAIDMD660302501
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MD D0043096
2085N0700X
- Radiology / Neuroradiology
MD D0043096

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
DREXEL UNIVERSITY COLLEGE OF MEDICINE - Graduated 1987
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BOLIVIA DAVIS is affiliated with the following medical group(s):
  • HOSPITAL
    • HCA FLORIDA BRANDON HOSPITAL
      119 OAKFIELD DR
      BRANDON, FL 33511
    • LARGO MEDICAL CENTER
      201 14TH ST SW
      LARGO, FL 33770
    • UNIVERSITY OF MD CAPITAL REGION MEDICAL CENTER
      901 NORTH HARRY S TRUMAN DRIVE
      LARGO, MD 20774
    • UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER
      5 GARRETT AVENUE
      LA PLATA, MD 20646
    • UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS
      827 LINDEN AVENUE
      BALTIMORE, MD 21201

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