BERKLEY DAVIS MD
NPI 1205200102
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since November 17, 2015PECOS Enrolled
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, Apr 6, 2020, Nov 17, 2015 (3 updates tracked since 2015).

About Berkley Davis Md NPPES

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

BERKLEY DAVIS MD (NPI 1205200102) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205200102
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBERKLEY DAVISCredential: MD
Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000
Mailing Address1820 Pontiac TrlAnn Arbor, MI 48105-1723 · (804) 513-7493
Sole ProprietorNo
Enumeration DateNovember 17, 2015
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1205200102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Berkley Davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Pharmacist (Pharmacotherapy)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pharmacist
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pharmacist (Psychiatric)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Psychiatry & Neurology (Psychiatry)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Radiology (Diagnostic Radiology)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI 48109

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 Berkley Davis's NPI number?

The NPI number for Berkley Davis is 1205200102. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Where is Berkley Davis located?

Berkley Davis practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Berkley Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Berkley Davis enrolled in Medicare?

Yes. Berkley Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Berkley Davis was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.