DR. BRADLEY CARL DAVIS (NPI# 1801026893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801026893 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY CARL DAVIS |
| Credential | M.D. |
| Practice Address |
6424 E Broadway Rd Ste 101 Mesa AZ 85206-1750 |
| Mailing Address |
1201 S Alma School Rd Mesa AZ 85210-2008 |
| Practice Telephone | 4804569000 |
| Practice Fax Number | 4806321153 |
| Mailing Telephone | 4805458119 |
| Mailing Fax Number | 4808926805 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2016-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
50439 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
50439 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 018841 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1346324746 | Bradley J Davis | Psychiatry & Neurology | 8715 Massey Cir, Colorado Springs, CO 80920-7127 | 2006-10-24 |
| 1811989585 | Bradley E Davis | Urology | 10550 Quivira Rd, Ste 105, Overland Park, KS 66215-2306 | 2005-08-18 |
| 1932671872 | Bradley Earl Davis | Occupational Therapist | 630 Kenmoor Ave Se, Grand Rapids, MI 49546-8626 | 2018-12-17 |
| 1083168793 | Bradley T Davis | Nurse Practitioner | 910 N 5th St, Cordele, GA 31015 | 2016-08-10 |
| 1730573650 | Bradley Davis | Emergency Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-03-28 |
| 1790197101 | Bradley Davis | Family Medicine | 7600 River Rd, North Bergen, NJ 07047-6217 | 2014-05-20 |
| 1942546064 | Bradley A Davis | Chiropractor | 731 Sabrina Dr, Suite B, East Peoria, IL 61611-3581 | 2012-12-18 |
| 1508039496 | Bradley Scott Davis | Anesthesiology | 7 Vanderbilt Park Dr, Asheville, NC 28803-1700 | 2008-04-11 |
| 1154427300 | Bradley A Davis | Chiropractor | 5650 Mexico Rd, Ste 20, Saint Peters, MO 63376-1696 | 2006-09-15 |
| Street Address |
6424 E BROADWAY RD STE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003821430 | Sanjeev Gopal | Internal Medicine | 6424 E Broadway Rd, 104-105, Mesa, AZ 85206-1750 | 2006-07-31 |
| 1730625526 | Choice Spine and Pain, LLC | Clinic/Center | 6424 E Broadway Rd, Suite 102, Mesa, AZ 85206-1750 | 2017-01-17 |
| 1518338326 | Elevate Anesthesia Services, Inc. | Anesthesiology | 6424 E Broadway Rd, Suite 102, Mesa, AZ 85206-1750 | 2015-10-20 |
| 1710322946 | Sun Electronic Brachytherapy Inc | Radiology | 6424 E Broadway Rd, Suite 104 & 105, Mesa, AZ 85206-1750 | 2013-05-01 |
| 1093947392 | Kay Marie Scala | Nurse Practitioner | 6424 E Broadway Rd, Suite 104, Mesa, AZ 85206-1750 | 2009-08-20 |
| 1740450311 | Banner Baywood Surgery Center, Lp | Clinic/Center | 6424 E Broadway Rd, Suite 102, Mesa, AZ 85206-1750 | 2008-03-10 |
| 1356548507 | Michael M Long Md PC | Internal Medicine | 6424 E Broadway Rd, 104, Mesa, AZ 85206-1750 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225361454 | Smi Imaging, LLC | Radiology | 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 | 2009-09-04 |
| 1780817940 | Smi Imaging, LLC | Radiology | 1457 W Southern Ave Ste 26, Mesa, AZ 85202-4862 | 2009-09-03 |
| 1801029103 | Smi Imaging, LLC | Radiology | 130 S 63rd St Ste 123, Mesa, AZ 85206-1604 | 2009-09-02 |
| 1396701397 | Michelle Lee Dorsey | Radiology | 3850 E Huber St, Unit 1, Mesa, AZ 85205-3912 | 2006-04-26 |
| 1942285531 | Phoenix Diagnostic Imaging Inc | Radiology | 1111 S Dobson Rd, Mesa, AZ 85202-3902 | 2005-12-07 |
| 1306835020 | Karen B. Garby | Radiology | 1457 W Southern Ave, Suite 26, Mesa, AZ 85202-4813 | 2005-10-14 |
| 1861481731 | Monty D. Snow | Radiology | 1125 E Southern Ave, Suite 300, Mesa, AZ 85204-5045 | 2005-10-13 |
| 1609865559 | Joseph E. Wagner | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2005-10-13 |
| 1336757699 | Arizona Diagnostic Radiology Group, LLC | Radiology | 2653 W Guadalupe Rd, Mesa, AZ 85202-7200 | 2020-07-22 |
| 1063052793 | Steward Radiology Physicians of Arizona Inc | Radiology | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-01-10 |
| Find all providers in MESA | ||||
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| 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.