BRYTON DAVIS MD
NPI 1215679550
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 07, 2022PECOS Enrolled

3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bryton Davis Md NPPES

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

BRYTON DAVIS MD (NPI 1215679550) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215679550

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRYTON DAVISCredential: MD

Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3098

Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3098 · (503) 494-8211

Phone(503) 494-8211

Sole ProprietorNo

Enumeration DateApril 7, 2022

NPPES CertifiedApril 7, 2022

✔ NPI 1215679550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryton 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.