Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYANT DAVIS
DeactivatedBRYANT DAVIS is a Foot & Ankle Surgery healthcare provider located in INDIAN HEAD, Maryland. NPI 1417523705 is deactivated in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · INDIAN HEAD, MD
This NPI has been deactivated.
The record was deactivated on July 27, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417523705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2021 (0.16712328767123 yrs)
- Last Updated
- Dec 12, 2023
- Deactivated
- Jul 27, 2021
Practice Information
- Address
-
134 RIVERWATCH DR # 134INDIAN HEAD, MD, 206401557Browse MD providers · Browse ZIP 20640
- Phone
- 3015357202
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in INDIAN HEAD, MD
| Name | Credential | NPI |
|---|---|---|
| SURNITA LAWON JEFFERSON-JONES | — | 1730760638 |
| MRS. LAURAANN WILLIAMS-NKETIA | — | 1952175101 |
| DEAN TOBIN | — | 1538985676 |
| MICHAEL NEW | ADULT CPR, FIRST-AID | 1245123231 |
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.