| Bradley Duane Davis, DO | |
|
101 E Wood St, Emergency Center, Spartanburg, SC 29303-3040 | |
| (864) 560-6222 | |
| (864) 560-4413 |
| Full Name | Bradley Duane Davis |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 101 E Wood St, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144200189 | NPI | - | NPPES |
| 7361552 | Other | SC | AETNA |
| 89067H3 | Medicaid | NC | |
| 008459 | Medicaid | SC | |
| 20030852 | Other | SC | SELECT HEALTH OF SC |
| 189202 | Other | SC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 845 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Entity Name | Pelham Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329 |
| Entity Name | Emergencymd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619383791 PECOS PAC ID: 7416179478 Enrollment ID: O20141107000731 |
| Entity Name | Prisma Health-upstate |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Duane Davis, DO 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: () - | Bradley Duane Davis, DO 101 E Wood St, Emergency Center, Spartanburg, SC 29303-3040 Ph: (864) 560-6222 |
Stephanie Anja Taft, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 E Blackstock Rd, Spartanburg, SC 29301 Phone: 864-576-8646 | |
Dr. Erica Lynn Hudson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Dr. John Falcon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-4123 | |
Rosanna Patrice Couture, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 | |
Benjamin David Theobald, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 Fax: 864-560-7388 | |
Kristin Demosthenes Rowland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Brandon Keith Wyss, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 Fax: 864-560-7388 |