MR. BRYAN ANTHONY DAVIS (NPI# 1316928682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316928682 |
| Entity Type | Individual |
| Full Name | MR. BRYAN ANTHONY DAVIS |
| Credential | PA |
| Practice Address |
606 Highway 63 S Vienna MO 65582-8101 |
| Mailing Address |
1050 W 10th St Attn; Executive Director of Physician Clinics Rolla MO 65402 |
| Practice Telephone | 5734223636 |
| Practice Fax Number | 5734223434 |
| Mailing Telephone | 5733649000 |
| Mailing Fax Number | 5734262108 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1300 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696905 | Bryan Davis | Counselor | 4059 St Rt 36/37 East, Suite B, Delaware, OH 43015-9461 | 2016-09-01 |
| 1578790473 | Bryan Mark Davis | Family Medicine | 230 Mesa Verde Dr., Center Point, TX 78010 | 2009-06-18 |
| 1053425934 | Bryan C Davis | Family Medicine | 1305 E 19th Ave, Winfield, KS 67156-5201 | 2006-08-18 |
| 1295760080 | Bryan W Davis | Family Medicine | 129 Creekbend Blvd, Nacogdoches, TX 75965-1781 | 2006-07-11 |
| 1467084046 | Bryan Keith Davis | Community Health Worker | 230 13th St, Toledo, OH 43604-5443 | 2020-02-11 |
| 1487204483 | Bryan Scott Davis | Student in an Organized Health Care Education/Training Program | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2019-09-12 |
| 1013418359 | Bryan Davis | Technician | 1700 E Desert Inn Rd Ste 314, Las Vegas, NV 89169-3207 | 2018-02-22 |
| 1205361276 | Bryan Davis | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2017-04-26 |
| 1396287660 | Bryan Davis | Social Worker | 210a Birchtree Dr, Greenwood, SC 29649-1502 | 2016-11-17 |
| 1194105791 | Bryan Davis | Psychologist | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2015-06-09 |
| Street Address |
606 HIGHWAY 63 S |
| City | VIENNA |
| State | MO |
| Zip Code | 65582-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538158274 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 606 Highway 63 S, Vienna, MO 65582-8101 | 2005-10-16 |
| 1093346181 | Jennifer Renae Berhorst | Pharmacist | 606 Highway 63 S, Vienna, MO 65582-8101 | 2020-01-28 |
| 1356819890 | Medley Pharmacy Inc | Pharmacy | 606 Highway 63 S, Vienna, MO 65582-8101 | 2018-11-02 |
| 1114235041 | Pcrmc Medical Group, Inc | Clinic/Center | 606 Highway 63 S, Vienna, MO 65582-8101 | 2010-09-14 |
| 1831141837 | Vienna Health Care | Family Medicine | 606 Highway 63 S, Vienna, MO 65582-8101 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477867976 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 606 E. Highway 63, Vienna, MO 65582 | 2010-07-27 |
| 1982856399 | Maries R-1 School District | Local Education Agency (LEA) | 161 5th Street, Vienna, MO 65582 | 2008-10-16 |
| 1669644746 | Quick Development Inc | Clinic/Center | 112 Parkway, Vienna, MO 65582 | 2008-03-28 |
| 1134127897 | Maries Osage Ambulance District | Ambulance | 164 Ballpark Road, Vienna, MO 65582 | 2005-07-07 |
| 1265055438 | Cynthia Louise Harris | Speech-Language Pathologist | 300 4th Street, Vienna, MO 65582 | 2020-05-22 |
| 1821304940 | Rachel Martin | Pharmacist | 606 Highway 63, Vienna, MO 65582-0606 | 2010-08-26 |
| 1417244146 | Joseph William Barnhart | Dentist | 1406 Hwy S, Vienna, MO 65582-0999 | 2011-07-01 |
| 1548473549 | John Francis Barnhart | Dentist | 1406 Hwy 63 S, Vienna, MO 65582-0999 | 2007-05-07 |
| 1548557325 | Joseph W Barnhart, Dds | Dentist | 1406 Hwy 63 S, Vienna, MO 65582-0999 | 2011-06-30 |
| 1043413073 | John F Barnhart, Dds, PC | Dentist | 1406 Hwy 63 S, Vienna, MO 65582-0999 | 2007-06-07 |
| Find all providers in zip 65582 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134681323 | Samara Rahman | Physician Assistant | 7916 Tyson Oaks Cir, Vienna, VA 22182-3952 | 2019-04-05 |
| 1053882134 | Biniam Abraham | Physician Assistant | 9628 Prelude Ct, Vienna, VA 22182-3340 | 2018-12-16 |
| 1194206128 | Heather Lynn Booth | Physician Assistant | 800 Grand Central Ave Ste 3, Vienna, WV 26105-2150 | 2018-08-28 |
| 1295122620 | Georgeta Sealey | Physician Assistant | 8320 Old Courthouse Rd., Ste 100, Vienna, VA 22182-3811 | 2015-04-23 |
| 1790088227 | Archana Sangha | Physician Assistant | 2236c Gallows Rd Fl 2, Vienna, VA 22182-5200 | 2010-12-06 |
| 1124352075 | Amy Elizabeth Mckee | Physician Assistant | 115 Park Street, Se, Suite 300, Vienna, VA 22180 | 2009-09-24 |
| 1720246986 | Uuganbayar Enebish | Physician Assistant | 115 Park St Se Suite 300, Vienna Family Medicine, Vienna, VA 22180-4653 | 2008-05-23 |
| 1811411655 | Bethany Siu | Physician Assistant | 8320 Old Courthouse Rd Ste 100, Vienna, VA 22182-3811 | 2017-08-02 |
| 1811448327 | Sandra Carina Esteves | Physician Assistant | 8605 Westwood Center Dr, Suite 201, Vienna, VA 22182-2240 | 2016-10-19 |
| 1275087439 | Monica Lancaster Moon | Physician Assistant | 1212 E Union St, Vienna, GA 31092-7545 | 2016-08-05 |
| Find all providers in VIENNA | ||||
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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.