Davis, Brian Adam

Davis, Brian Adam is an individual health care provider with primary practice located at 8930 W Sunset Rd Ste 140 , Las Vegas NV 89148-5009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Davis, Brian Adam can be contacted via phone (702) 968-3240.

Contact Information

Primary practice address
8930 W Sunset Rd Ste 140 Las Vegas NV 89148-5009
Fax: (702) 862-8227
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G85393 California
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 20169 Nevada

Profile Details

NPI number 1760463830
LBN Legal business name Davis, Brian Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jan 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760463830 NPPES
Nevada Other 20169 STATE LICENSE
Nevada MEDICAID 00G853930 STATE LICENSE

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