BRADLEY C. DAVIS M.D. – NPI #1801026893
Radiology

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

Health Care Provider Taxonomy Code for Radiology

BRADLEY DAVIS is a radiologist located in LAKELAND, FL. NPPES has assigned the NPI number 1801026893 to BRADLEY DAVIS on July 23, 2009. 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 5 years ago on Apr 02, 2021. 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 BRADLEY DAVIS below.

NPI Profile for
BRADLEY C. DAVIS

NPI Number
1801026893
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRADLEY C. DAVIS
Credentials
M.D.
Primary location
1305 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4542
Phone: (863) 688-2334 Fax: (863) 577-1160
1 Other location(s):
6424 E Broadway Rd
Ste 101
Mesa, AZ 85206-1750
Phone: (480) 456-9000
Fax: (480) 632-1153
Mailing address
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801-6875
Phone: (863) 688-2334 Fax: (863) 577-1160
Sole Proprietor
No
Updated
Certification Date
Apr 02, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRADLEY 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
MEDICAIDAZ018841
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)		 AZ 50439
2085R0204X
- Radiology / Vascular & Interventional Radiology		 AZ 50439

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
MEDICAL COLLEGE OF WISCONSIN - Graduated 2009
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
BRADLEY DAVIS is affiliated with the following medical group(s):
  • HOSPITAL
    • LAKELAND REGIONAL MEDICAL CENTER
      1324 LAKELAND HILLS BLVD
      LAKELAND, FL 33805
    • LAKEWOOD RANCH MEDICAL CENTER
      8330 LAKEWOOD RANCH BLVD
      BRADENTON, FL 34202
    • MANATEE MEMORIAL HOSPITAL
      206 2ND ST E
      BRADENTON, FL 34208
    • SOUTH FLORIDA BAPTIST HOSPITAL
      301 N ALEXANDER ST
      PLANT CITY, FL 33563
    • WINTER HAVEN HOSPITAL
      200 AVE F NE
      WINTER HAVEN, FL 33881

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