Brian D Davenport (NPI# 1558703306, PAC ID# 1850535725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558703306 |
| PAC ID by PECOS | 1850535725 |
| Professional Enrollment ID | I20130913000713 |
| Full Name | Brian D Davenport |
| Address |
83 S 2600 Suite 102 Hurricane UT 84737-3268 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 83 S 2600, Suite 102, Hurricane, UT 84737-3268 |
| Street Address |
83 S 2600 SUITE 102 |
| City | HURRICANE |
| State | UT |
| Zip | 84737-3268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy C Gubler | Physical Therapy | 83 S 2600, Suite 201, Hurricane, UT 84737-3270 | |
| Joshua A Carr | Chiropractic | 83 S 2600, Suite 102, Hurricane, UT 84737-3268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melvin Rex Carter | Family Medicine | 11 S Main St, Hurricane, UT 84737-1949 | |
| Sheldon B Moon | Family Medicine | Ihc Health Services Inc | 75 N 2260, Hurricane, UT 84737-2034 |
| George Gregory Last | Family Medicine | Ihc Health Services Inc | 75 N 2260, Hurricane, UT 84737-2034 |
| Victor Baumgarten | Clinical Social Worker | Ihc Health Services Inc | 75 N 2260, Hurricane, UT 84737-2034 |
| Penny Ann Emett | Nurse Practitioner | Ihc Health Services Inc | 75 N 2260, Hurricane, UT 84737-2034 |
| Raschelle Davis Shoultes | Nurse Practitioner | Ihc Health Services Inc | 75 N 2260, Hurricane, UT 84737-2034 |
| Matthew Mackay | Psychologist, Clinical | Ihc Health Services Inc | 75 N 2260, Hurricane, UT 84737-2034 |
| Charlie T Lin | Family Medicine | Ihc Health Services Inc | 75 N 2260, Hurricane, UT 84737-2034 |
| Alyssa Ann Dean | Nurse Practitioner | Ihc Health Services Inc | 75 N 2260, Hurricane, UT 84737-2034 |
| Kelly M Kline-cunningham | Registered Dietitian Or Nutrition Professional | Ihc Health Services Inc | 75 N 2260, Hurricane, UT 84737-2034 |
| Find all physicians in zip 84737 | |||
| City | HURRICANE |
| Zip Code | 84737 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HURRICANE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brian D Davenport.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.