Bruce Davison
M.D. | Pediatrics | Male
Bruce Davison, M.D. is a New Berlin, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Bruce Davison is
4855 S Moorland Rd, New Berlin, Wisconsin - 53151-7494. He can be contacted on phone at
262-432-7599 and fax number 262-432-7694.
Bruce Davison is a sole proprietor of his business.
NPI number (Unique professional ID) for Bruce Davison is
1780615583 which was assigned by NPPES on 06 Jul, 2006 and it was last updated on 01 Mar, 2023.
Bruce Davison license number is
1036816 for Pediatrics (208000000X) in Indiana.
Bruce Davison is a pediatrician who 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.
Complete Profile:
Bruce Davison basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Bruce Davison |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Bruce Davison address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4855 S Moorland Rd
New Berlin, WI, 53151-7494
United States |
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| Phone Number : | 262-432-7599 |
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| Fax Number : | 262-432-7694 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780615583 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jul, 2006 |
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| Last Updated On : | 01 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bruce Davison are as mentioned. Primary taxonomy code for Bruce Davison, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 1036816 | IN |
Legacy Identifiers:
Other legacy medical identifiers of Bruce Davison such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000984523 | Other (non-Medicare) | IN | ANTHEM PIN |
| 100358660 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5499 State Road 167
Hubertus, WI, 53033-9773
United States |
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| Phone Number : | 812-344-4201 |
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Business Location:
Patients can refer following map for directions to
Bruce Davison practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.