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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRYAN RICHARD DAVIDSON, PA-C

Active Sole Proprietor

BRYAN RICHARD DAVIDSON, PA-C is a Physician Assistant healthcare provider located in RUSHVILLE, Indiana. NPI 1013580331 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RUSHVILLE, IN

Registration Details

NPI Number
1013580331
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2021 (5.0898729205299 yrs)
Last Updated
Feb 17, 2025
License
10003308A (IN)
Sole Proprietor
Yes

Practice Information

Address
110 E 13TH ST
RUSHVILLE, IN, 461732126
Browse IN providers · Browse ZIP 46173
Phone
7659327063
Fax
7659327065
Primary Specialty
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.