Individual
BRYAN T. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5319 HOAG DR, SUITE 210 A, SHEFFIELD VILLAGE, OH 44035-1494
(440) 723-5685
(440) 723-5686
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-00-1266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383079
BLUECROSS BLUESHIELD
OH
Enumeration date
01/24/2006
Last updated
11/03/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us