Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BROCK MADSEN DAVIS DO
NPI 1548909534
Dermatology in Soldotna, AK

Active since May 31, 2022PECOS Enrolled
254 N BINKLEY ST, SOLDOTNA, AK 99669(907) 714-5930 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Aug 27, 2026, Jul 4, 2023 (3 updates tracked since 2023).

About Brock Madsen Davis Do NPPES

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

BROCK MADSEN DAVIS DO (NPI 1548909534) is an individual dermatology provider in Soldotna, Alaska, licensed in Alaska (253319) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548909534
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameBROCK MADSEN DAVISCredential: DO
Location Address254 N BINKLEY STSoldotna, AK 99669-7522
Mailing Address250 Hospital PlSoldotna, AK 99669-7559 · (907) 714-5930 · Fax (833) 206-2492
Sole ProprietorNo
Enumeration DateMay 31, 2022
Last NPPES UpdateSeptember 24, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1548909534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AK · 253319
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 253319 (AK)
254 N BINKLEY ST, Soldotna, AK 99669

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brock Madsen Davis Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99669 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
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 3

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

Obstetrics & Gynecology
254 N BINKLEY ST
SOLDOTNA, AK 99669
Surgery
254 N BINKLEY ST
SOLDOTNA, AK 99669
Dermatology (MOHS-Micrographic Surgery)
254 N BINKLEY ST
SOLDOTNA, AK 99669

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 Brock Davis's NPI number?

The NPI number for Brock Davis is 1548909534. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Brock Davis located?

Brock Davis practices at 254 N Binkley St, Soldotna, AK 99669. The listed phone number is (907) 714-5930.

What is Brock Davis's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Brock Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brock Davis was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.