| Brett C Davis Md Pllc | |
|
1000 Breckenridge St Ste 302a Owensboro KY 42303-0877 | |
| (812) 491-1307 | |
| Not Available |
| Full Name | Brett C Davis Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Breckenridge St Ste 302a, Owensboro, Kentucky |
| Authorized Official Name and Position | Brett Davis (OWNER) |
| Authorized Official Contact | 2709931885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brett C Davis Md Pllc Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | Brett C Davis Md Pllc 1000 Breckenridge St Ste 302a Owensboro KY 42303-0877 Ph: (812) 491-1307 |
| NPI Number | 1447760939 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 12/31/2020 |
| Medicare PECOS PAC ID | 4880953801 |
|---|---|
| Medicare Enrollment ID | O20180122000735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447760939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Brett C Davis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396774782 PECOS PAC ID: 4284524760 Enrollment ID: I20040318000209 |
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