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

DR. BRIAN WAYNE DAVIS, M.D.

Active Sole Proprietor

DR. BRIAN WAYNE DAVIS, M.D. is a Critical Care Medicine healthcare provider located in MISSOULA, Montana. NPI 1205913506 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · MISSOULA, MT

Registration Details

NPI Number
1205913506
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2006 (19.810407763394 yrs)
Last Updated
Apr 28, 2017
Licenses
LL29140 (SC)
256390 (NY)
256390 (NY)
256390 (NY)
18582 (MT)
Sole Proprietor
Yes

Practice Information

Address
4625 BORDEAUX BLVD
MISSOULA, MT, 598088686
Browse MT providers · Browse ZIP 59808
Phone
8595333471
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Internal Medicine
Additional Specialty
Critical Care Medicine
Additional Specialty
Pulmonary Disease
Additional Specialty
Critical Care Medicine
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.