DR. BRYAN DAVIS (NPI# 1194105791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194105791 |
| Entity Type | Individual |
| Full Name | DR. BRYAN DAVIS |
| Credential | PSY.D. |
| Practice Address |
4001 Dutchmans Ln Louisville KY 40207-4714 |
| Mailing Address |
203 S Hubbards Ln Louisville KY 40207-4004 |
| Practice Telephone | 5028931000 |
| Mailing Telephone | 4192772177 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
265472 | KY | Behavioral Health & Social Service 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 |
| 1235534611 | Bryan Davis | Rehabilitation Practitioner | 3737 Pecos Mcleod, Las Vegas, NV 89121-4262 | 2014-10-28 |
| Street Address |
4001 DUTCHMANS LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697449 | Jerry Clanton | Specialist | 4001 Dutchmans Ln, Ste 5c, Louisville, KY 40207-4737 | 2005-05-27 |
| 1508483769 | Amber Nicole Folske | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2020-07-02 |
| 1386269371 | Sharri Marie Fitzpatrick | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2020-06-15 |
| 1144868498 | Loran Marie Bernert | Doula | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-12-17 |
| 1760020531 | Meaghan Elisabeth Baumgardner | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-12-12 |
| 1306495874 | Matthew Kirk | Physician Assistant | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-09-08 |
| 1780142984 | Kristal Beach Howard | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-03-06 |
| 1891279584 | Jacqueline Blake Russ | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-09-19 |
| 1093294415 | Conley Kathryn Labrake | Occupational Therapist | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-08-07 |
| 1427554658 | Jessica Jane Henderson | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377164 | Mariya Leyderman | Psychologist | 974 Breckenridge Ln # 171, Louisville, KY 40207-4619 | 2020-02-10 |
| 1841821196 | Sally Losson Brenzel | Psychologist | 10503 Timberwood Cir Ste 205, Louisville, KY 40223-5395 | 2020-01-27 |
| 1013495902 | Melissa Ann Gibson | Psychologist | 6500 Glenridge Park Pl Ste 3, Louisville, KY 40222-3450 | 2018-08-01 |
| 1437645934 | Flourish Louisville | Psychologist | 6000 Brownsboro Park Blvd Ste A, Louisville, KY 40207-7201 | 2018-07-09 |
| 1982197737 | Louisville Center for Eating Disorders LLC | Psychologist | 11824 Ransum Dr # 200, Louisville, KY 40243-2802 | 2018-06-07 |
| 1801305461 | Elizabeth Swabek | Psychologist | 3703 Taylorsville Rd Ste 221, Louisville, KY 40220-1331 | 2017-09-27 |
| 1487173712 | The Wright Psychology and Learning Center, Pllc | Psychologist | 4010 Dupont Cir Ste 401, Louisville, KY 40207-4887 | 2017-09-19 |
| 1013371699 | Deshields Behavioral Wellness, Inc. | Psychologist | 2515 Gardiner Ln, Louisville, KY 40205-3003 | 2016-04-08 |
| 1851767974 | Clement Street Russell | Psychologist | 912 Lily Creek Rd, #201, Louisville, KY 40243-2815 | 2015-08-12 |
| 1306235452 | Katrina Mcbride | Psychologist | 6009 Brownsboro Park Blvd Ste C, Louisville, KY 40207-1291 | 2015-01-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on DR. BRYAN DAVIS.
| 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.