Individual
BRADLEY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-1000
Mailing address
2020 YORKTOWNE DR, VALPARAISO, IN 46383-3926
(219) 576-4116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28246888A
IN
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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