Davis, Bryan Matthew

Davis, Bryan Matthew is an individual health care provider with primary practice located at 3030 N Circle Dr Ste 300, Colorado Springs CO 80909-1177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Davis, Bryan Matthew can be contacted via phone (719) 867-7800.

Contact Information

Primary practice address
3030 N Circle Dr Ste 300 Colorado Springs CO 80909-1177
Fax: (719) 867-7899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X DR-44924 Colorado

Profile Details

NPI number 1336232669
LBN Legal business name Davis, Bryan Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Sep 16th, 2016 - about 8 years ago

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 1336232669 NPPES
Colorado MEDICAID 808137

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