| Mr Bradford Joseph Davis, FNP-BC | |
|
808 Speciality Dr Ste A, Dexter, MO 63841-2753 | |
| (573) 891-1250 | |
| (573) 891-1320 |
| Full Name | Mr Bradford Joseph Davis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 808 Speciality Dr Ste A, Dexter, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184002842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2015006783 (Missouri) | Primary |
| Entity Name | Big Springs Medical Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
| Entity Name | Davis Health & Wellness Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154066561 PECOS PAC ID: 6608248448 Enrollment ID: O20230204000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradford Joseph Davis, FNP-BC Po Box 603, Dexter, MO 63841-0603 Ph: (573) 891-1250 | Mr Bradford Joseph Davis, FNP-BC 808 Speciality Dr Ste A, Dexter, MO 63841-2753 Ph: (573) 891-1250 |
Jessica L Miller, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E Business Us Highway 60, Dexter, MO 63841 Phone: 573-335-7546 Fax: 573-335-7550 | |
Shantel Miles, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212n Saint Francis Dr, Dexter, MO 63841 Phone: 573-624-3600 | |
Ellen Vaughan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 N. One Mile Road, Dexter, MO 63841 Phone: 573-624-3600 | |
Miss Ashley Marie Gantner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 | |
Kristin Suzanne Wheeler Guethle, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-421-3134 | |
Camellia A Vermillion, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 911b West Business Hwy 60, Dexter, MO 63841 Phone: 573-625-7149 Fax: 573-614-5806 |