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DR. BRUCE L DAVIDSON MD
NPI 1619932092
Internal Medicine - Pulmonary Disease in Burien, WA

Active since April 19, 2006PECOS Enrolled
12209 SHOREWOOD DR SW, BURIEN, WA 98146(206) 799-4513 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2021, Dec 3, 2020 (2 updates tracked since 2020).

About Dr. Bruce L Davidson Md NPPES

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

DR. BRUCE L DAVIDSON MD (NPI 1619932092) is an individual pulmonary disease provider in Burien, Washington, licensed in Washington (36990) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Temple University School Of Medicine (1977).

NPPES Registry Identity

NPI1619932092
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. BRUCE L DAVIDSONCredential: MD
Location Address12209 SHOREWOOD DR SWBurien, WA 98146-2411
Mailing Address12209 Shorewood Dr SwBurien, WA 98146-2411
Phone(206) 799-4513
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1977
Enumeration DateApril 19, 2006
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1619932092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WA · 36990
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 36990 (WA)
12209 SHOREWOOD DR SW, Burien, WA 98146
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Secondary Practice Location 1

Location 1720 8th Ave SSeattle, WA 98104-3032 · Phone (206) 788-3700 · Fax (206) 788-3706

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruce L Davidson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193718013
PECOS Enrollment IDI20260429000718
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

3

Medicare enrollment records show Bruce Davidson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington
38 mi
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1174744304 (360) 793-7230
Public Hospital Dist No 1 Skagit
45 mi
Primary Care
405 W. STANLEY STREET
Granite Falls, WA 98252
  • Reassigned Medicare billing, Washington enrollment
  • 463 clinicians in this Medicare group
NPI 1033164470 (360) 619-2419
St Lukes Clinic-Ala Moana Inc
2,674 mi
Surgery
1441 KAPIOLANI BLVD STE 2000
Honolulu, HI 96814
  • Reassigned Medicare billing, Hawaii enrollment
  • 14 clinicians in this Medicare group
NPI 1568494730 (808) 945-3719

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 98146 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$38.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Bruce Davidson's NPI number?

The NPI number for Bruce Davidson is 1619932092. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Bruce Davidson located?

Bruce Davidson practices at 12209 Shorewood Dr SW, Burien, WA 98146. The listed phone number is (206) 799-4513.

What is Bruce Davidson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Bruce Davidson enrolled in Medicare?

Yes. Bruce Davidson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bruce Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Davidson reassigns Medicare benefits to 3 organizations: Providence Health & Services Washington (Olympia, WA), Public Hospital Dist No 1 Skagit (Granite Falls, WA) and St Lukes Clinic-Ala Moana Inc (Honolulu, HI). 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 Bruce Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bruce Davidson was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.