DR. BRUCE ANTHONY DAVIS M.D.
NPI 1205821600
Pediatrics in Louisville, KY

Q: What is Bruce Davis's NPI number?

The NPI number for Bruce Davis is 1205821600. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Bruce Davis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Davis was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since September 13, 2005

9905 SHELBYVILLE RD, LOUISVILLE, KY 40223(502) 425-5166(502) 327-0526 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2017, Jan 16, 2017, Sep 15, 2016 (3 updates tracked since 2016).

On this page

About Dr. Bruce Anthony Davis M.d. NPPES

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

DR. BRUCE ANTHONY DAVIS M.D. (NPI 1205821600) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (18190) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1205821600

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. BRUCE ANTHONY DAVISCredential: M.D.

Location Address9905 SHELBYVILLE RDLouisville, KY 40223-2907

Mailing Address9905 Shelbyville RdLouisville, KY 40223-2907 · (502) 425-5166 · Fax (502) 327-0526

Phone(502) 425-5166

Fax(502) 327-0526

Sole ProprietorNo

Enumeration DateSeptember 13, 2005

Last NPPES UpdateSeptember 13, 20173 updates tracked since enumeration

✔ NPI 1205821600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 18190

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 18190 (KY)

9905 SHELBYVILLE RD, Louisville, KY 40223

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINB03214KY

Medicaid64181902KY

Other Providers at the Same Location NPPES 7

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

DR. NICHOLAS M HINKEBEIN M.D.

Pediatrics