Bradley Davis, DO
Family Medicine in Lanoka Harbor, New Jersey
1790197101- Practice location
- 539 US Highway 9, Lanoka Harbor, NJ 08734-2211
- Phone
- 609-549-6266
- Fax
- 609-549-5600
- Last updated
- May 24, 2023
Bradley Davis is a Family Medicine based in Lanoka Harbor, NJ. Bradley Davis practices in Lanoka Harbor, NJ and has the professional credentials of DO. The NPI Number for Bradley Davis is 1790197101 and holds a License No. 25MB10217800 (NJ). The current practice location address for Bradley Davis is 539 US Highway 9, Lanoka Harbor, NJ 08734-2211 and can be reached out via phone at 609-549-6266 and via fax at 609-549-5600.
Provider Profile Details
- NPI Number
- 1790197101
- Provider Name
- Bradley Davis
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 539 US Highway 9, Lanoka Harbor, NJ 08734-2211
- Phone Number
- 609-549-6266
- Fax Number
- 609-549-5600
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 20, 2014
- Last Update Date
- May 24, 2023
- Certification Date
- May 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 539 US Highway 9
Lanoka Harbor, NJ 08734-2211 - City
- Lanoka Harbor
- State
- New Jersey
- Zip
- 08734-2211
- Phone Number
- 609-549-6266
- Fax Number
- 609-549-5600
Provider Business Mailing Address Details
- Address
- 1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104 - City
- Berkeley Heights
- State
- NJ
- Zip
- 07922-2104
- Phone Number
- 908-273-4300
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MB10217800
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Lanoka Harbor, NJ
View all Family Medicine providers in Lanoka Harbor →- Eulalia Dibattiste, MDFamily Medicine · NPI 1104856434
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- Michael C Schettino, MDFamily Medicine · NPI 1497872824
- Marilyn B Gresh, LCSWSocial Worker, Clinical · NPI 1942464938
- Ars Treatment Centers Of New Jersey, PCFamily Medicine, Addiction Medicine · NPI 1720644800
- Edward OstrowiczCounselor, Addiction (Substance Use Disorder) · NPI 1467359521
Frequently Asked Questions
What is the NPI number of Bradley Davis, DO?
The NPI number of Bradley Davis, DO is 1790197101. It was assigned on May 20, 2014 and is currently active in the NPPES registry.
What is the specialty of Bradley Davis, DO?
Bradley Davis, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB10217800.
Where does Bradley Davis, DO practice?
The practice location is 539 US Highway 9, Lanoka Harbor, NJ 08734-2211. The office can be reached at 609-549-6266 (phone) or 609-549-5600 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790197101 directly on the NPPES registry website.