BRYAN DAVIDSON
NPI 1043028046
Nurse Practitioner - Family in Hermitage, TN

Active since December 21, 2024PECOS EnrolledAccepts Medicare Assignment
5544 OLD HICKORY BLVD, HERMITAGE, TN 37076(615) 515-0029 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2025, Jan 8, 2025, Dec 21, 2024 (3 updates tracked since 2024).

About Bryan Davidson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN DAVIDSON (NPI 1043028046) is an individual family provider in Hermitage, Tennessee, licensed in Tennessee (37100) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043028046
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRYAN DAVIDSON
Location Address5544 OLD HICKORY BLVDHermitage, TN 37076-2576
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 21, 2024
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1043028046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 37100
Also ListedRegistered NurseTaxonomy 163W00000X · License 235998 (TN)
5544 OLD HICKORY BLVD, Hermitage, TN 37076

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Davidson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850820341
PECOS Enrollment IDI20250129000750, I20250619001827
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Bryan Davidson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
510 HIGHWAY 76
White House, TN 37188
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076
Pharmacist
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076
Nurse Practitioner (Family)
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076
Pharmacist
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076
Nurse Practitioner (Family)
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076
Pharmacist
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076
Nurse Practitioner (Family)
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Davidson's NPI number?

The NPI number for Bryan Davidson is 1043028046. It was assigned to this individual provider in the NPPES registry on December 21, 2024.

Where is Bryan Davidson located?

Bryan Davidson practices at 5544 Old Hickory Blvd, Hermitage, TN 37076. The listed phone number is (615) 515-0029.

What is Bryan Davidson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bryan Davidson enrolled in Medicare?

Yes. Bryan Davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bryan Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Davidson reassigns Medicare benefits to 2 organizations: The Little Clinic Of Tennessee LLC (White House, TN) and Kiosk Medicine Kentucky LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Davidson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Bryan Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Davidson was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.