DR. BRIAN WAYNE DAVIS (NPI# 1205913506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205913506 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WAYNE DAVIS |
| Credential | M.D. |
| Practice Address |
4625 Bordeaux Blvd Missoula MT 59808-8686 |
| Practice Telephone | 8595333471 |
| Mailing Telephone | 8595333471 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD2016-0024 | NM | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 256390 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 18582 | MT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | LL29140 | SC | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD2016-0024 | NM | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
256390 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
18582 | MT | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD2016-002 | NM | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
256390 | NY | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
18582 | MT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018075 | Brian Davis | Specialist/Technologist | 127 Taylor Ave, Wheeling, WV 26003-5459 | 2019-02-07 |
| 1881178796 | Brian Wayne Davis | Occupational Therapy Assistant | 20 W Frazier St, Smyrna, DE 19977-1416 | 2018-09-18 |
| 1750863296 | Brian Davis | Technician | 320 Annabelle Ln Apt 112, Henderson, NV 89014-7649 | 2018-08-31 |
| 1538647250 | Brian D Davis | Pharmacist | 600 Winding Oaks Pl, Ballwin, MO 63021-7379 | 2018-08-03 |
| 1124517818 | Brian J Davis | Home Health | 12730 Shaker Blvd Apt 1209, Cleveland, OH 44120-2062 | 2018-05-08 |
| 1134472855 | Brian Robert Davis | Physical Therapist | 253 6th Ave, Saint James, NY 11780-2707 | 2012-10-18 |
| 1295019016 | Brian A Davis | Specialist | 2222 Settlers Way Blvd, Apt 1415, Sugar Land, TX 77478-5262 | 2011-09-29 |
| 1285922294 | Brian Marshall Davis | Speech-Language Pathologist | 1518 Wood Ave, Chesapeake, VA 23325-4030 | 2011-07-12 |
| 1851680094 | Brian R Davis | Chiropractor | 1622 E North St, Ste 10, Greenville, SC 29607-1329 | 2011-03-28 |
| 1679882674 | Brian M. Davis | Occupational Therapist | 41 Pineland Dr, Suite 200, New Gloucester, ME 04260-5111 | 2010-09-25 |
| Street Address |
4625 BORDEAUX BLVD |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-8686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013963958 | Rolf H O Holle | Internal Medicine | 1782 Elison Ln Unit 3, Missoula, MT 59802-3684 | 2006-05-25 |
| 1487688412 | Ahmed Sammy Rashwan | Internal Medicine | 900 N Orange St Ste 106, Missoula, MT 59802-2951 | 2006-07-10 |
| 1821042276 | William B Bekemeyer | Internal Medicine | 500 West Broadway, Missoula, MT 59802-4008 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093804999 | Frederick A Zeller | Internal Medicine | 2900 12th Ave N Ste 500, Billings, MT 59101-7506 | 2006-10-11 |
| 1437131422 | Scott A Deppe | Internal Medicine | 3204 Meadowood Ln, Great Falls, MT 59404-5616 | 2005-11-16 |
| 1548261274 | Robert M Grasseschi | Internal Medicine | 1401 25th St S Ste 4, Great Falls, MT 59405-5183 | 2005-08-03 |
| 1912904483 | Gregory Paul Lemense | Internal Medicine | 937 Highland Blvd, Ste 5510, Bozeman, MT 59715-6916 | 2005-06-30 |
| 1942558432 | Brooks Corp | Internal Medicine | 1601 2nd Ave N, Great Falls, MT 59401-3259 | 2012-08-15 |
| 1316245863 | Marcus Daly Memorial Hospital Corporation | Internal Medicine | 1200 Westwood Dr, Hamilton, MT 59840-2395 | 2011-03-08 |
| 1740494913 | Seth William Clemens | Internal Medicine | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2007-05-09 |
| 1548310998 | Holly C. Strong | Internal Medicine | 401 15th Ave S Ste 202, Great Falls, MT 59405-4334 | 2007-01-10 |
| 1578649513 | Brendan Francis Bellew | Internal Medicine | 801 N 29th St, Billings, MT 59101-0905 | 2006-10-31 |
| 1770691842 | Shauna L Bethel | Internal Medicine | 937 Highland Blvd Ste 5510, Bozeman, MT 59715-6916 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.